Nonanoic and decanoic acid derivatives and uses thereof

ABSTRACT

The present disclosure relates to fluorinated compounds of formula I and methods of synthesizing these compounds. The present disclosure also relates to pharmaceutical compositions containing the fluorinated compounds of the disclosure, and methods of treating fibrosis, macular degeneration, diabetic retinopathy (DR), macular edema, diabetic macular edema (DME), and macular edema following retinal vein occlusion (RVO), by administering these compounds and pharmaceutical compositions to subjects in need thereof.

RELATED APPLICATION

This application is a continuation of U.S. application Ser. No. 15/498,736, filed Apr. 27, 2017 (now allowed), which claims priority to, and the benefit of, U.S. Ser. No. 62/328,187, filed on Apr. 27, 2016, the entire contents of each of which are incorporated herein.

BACKGROUND OF THE DISCLOSURE

Fibrosis is characterized by excessive accumulation of collagen in the extracellular matrix of the involved tissue. It is a long-standing and challenging clinical problem for which no effective treatment is currently available. The production of collagen is a highly regulated physiological process, the disturbance of which may lead to the development of tissue fibrosis. The formation of fibrous tissue is part of the normal beneficial process of healing after injury. In some cases, however, an abnormal accumulation of fibrous material can severely interfere with the normal function of the affected tissue or even cause the complete loss of function of the affected organ.

A variety of compounds have been identified as anti-fibrosis agents via different mechanisms of action, including the suppression of collagen expression. For example, pantethine (D-bis-(N-pantothenyl-β-aminoethyl)-disulfide) has been reported to be effective for the inhibition of hepatic fibrosis (U.S. Pat. No. 4,937,266). Also, a hydrazine derivative, benzoic hydrazide, has been shown to be a powerful antifibrotic agent (U.S. Pat. Nos. 5,374,660 and 5,571,846). In addition, angiotensin inhibitors are used in combination with nitric oxide stimulators to inhibit the progression of fibrosis (U.S. Pat. Nos. 5,645,839 and 6,139,847). Further, A₁ adenosine receptor antagonists and/or P_(2x) purinoceptor antagonists are described for treating or preventing fibrosis and sclerosis (U.S. Pat. No. 6,117,445). More recently, somatostatin agonists, hepatocyte growth factors (HGFs), chymase inhibitors, and antagonists of IL-13 have been reported to effectively inhibit fibrosis (U.S. Pat. Nos. 6,268,342, 6,303,126, 6,500,835, and 6,664,227).

Age-related macular degeneration (AMD) is the leading cause of blindness in people over 55; and diabetic retinopathy (DR) is the leading cause in people under 55 (Klein, 1994; Williams, 2004). Both diseases are characterized by new blood vessel growth (Freund, 1993; Speicher, 2003; Zarbin, 2004). Macular edema and Diabetic macular edema (DME) occur when fluid and protein deposits collect on or under the macula caused by leaking macular capillaries. Thrombosis of central retinal vein (CRV) and its branches is the second most prevalent vascular pathology after DR, and results in abrupt decrease in visual acuity and is accompanied by macular edema. Thus, anti-angiogenesis treatments are useful in combating all these conditions.

Integrins are heterodimeric transmembrane proteins through which cells attach and communicate with extracellular matrices and other cells. αv integrins are key receptors involved in mediating cell migration and angiogenesis. αv integrins have been shown to be involved in a number of diseases and conditions including ocular angiogenesis and fibrosis of organs. Expression of αv integrins is upregulated in various diseases or conditions, such as AMD and DR, and in mouse model of oxygen-induced retinopathy (OIR) or retinopathy of prematurity (ROP) model (Takagi, 2002). Also, αvβ3 is expressed in new vessels after photocoagulation, but not in normal choroidal vessels, in the laser-induced choroidal neovascularization model for AMD (Kamizuru, 2001). Administration of αv integrins antagonists, such as a cyclic RGD peptide, has been shown to inhibit retinal and choroidal neovascularization (Friedlander, 1996; Chavakis, 2002; Luna, 1996; Riecke, 2001; Yasukawa, 2004). Angiogenesis inhibitors targeting vascular endothelial growth factor (VEGF), other growth factors (e.g., fibroblast growth factor (FGF), platelet-derived growth factor (PDGF)), chemokines (e.g., IL8, SDF1, G-CSF), receptors (e.g., CXCR1, FGF-R, PlGFR, PDGFR, Tie-receptors), intracellular mediators (e.g., c-kit kinase, PI3 kinase, PKC), and extracellular mediators (e.g., integrins, cadherins), as well as inhibitors of pro-angiogenic targets (e.g., phosphoinositide 3 kinase), have been investigated for the treatment of AMD and DR. However, application of these drugs is limited.

Thus, there continues to be a need for compounds, compositions, and methods for treating fibrosis, AMD, DR, DME, and macular edema following retinal vein occlusion, that are safe, effective, and conveniently administered. The present disclosure addresses the need.

SUMMARY OF THE DISCLOSURE

The present disclosure provides a compound of formula I:

or a pharmaceutically acceptable salt or solvate thereof, wherein the compound of formula I is defined in detail herein below.

The present disclosure also provides a pharmaceutical composition comprising a compound of formula I or a pharmaceutically acceptable salt or solvate thereof, and a pharmaceutically acceptable carrier or excipient.

The present disclosure also provides a method of treating or preventing a fibrosis, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of formula I, or a pharmaceutically acceptable salt or solvate thereof. In one aspect, the disclosure provides treating a fibrosis. In one aspect, the disclosure provides preventing a fibrosis.

The present disclosure also provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof in the manufacture of a medicament for the treatment or prevention of a fibrosis in a subject. The present disclosure also provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof in treating or preventing a fibrosis in a subject.

The present disclosure also provides a method of treating or preventing a disease or condition in a subject, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof or a therapeutically effective amount of a pharmaceutical composition comprising a compound of formula I or a pharmaceutically acceptable salt or solvate thereof. In one aspect, the disclosure provides treating a disease or condition. In one aspect, the disclosure provides preventing a disease or condition.

The present disclosure provides a method of treating or preventing a disease or condition mediated by an αv integrin in a subject, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof or a therapeutically effective amount of a pharmaceutical composition comprising a compound of formula I or a pharmaceutically acceptable salt or solvate thereof. In one aspect, the disease or condition is a disease or condition in which angiogenesis is involved. In a further aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved.

The present disclosure also provides a method of treating or preventing an αvβ3, αvβ5, αvβ6 and/or αvβ8 integrin-mediated disease or condition in a subject, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof or a therapeutically effective amount of a pharmaceutical composition comprising a compound of formula I or a pharmaceutically acceptable salt or solvate thereof. In one aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved. In one aspect, the disease or condition is macular degeneration. In one aspect, the disease or condition is age-related macular degeneration (AMD). In one aspect, the disease or condition is diabetic retinopathy (DR). In one aspect, the disease or condition is diabetic macular edema (DME). In one aspect, the disease or condition is macular edema following retinal vein occlusion (RVO). In one aspect, the condition is fibrosis of the liver, kidney, intestine, lung, and heart. In one aspect, the disease is a renal disease, a respiratory disease, a gastrointestinal disease, a cardiovascular disease, a bone and articular disease, a skin disease, an obstetric disease, or a urologic disease.

The present disclosure provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof in the manufacture of a medicament for the treatment or prevention of a disease or condition in a subject. The present disclosure provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof in treating or preventing a disease or condition in a subject.

The present disclosure provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof in the manufacture of a medicament for the treatment or prevention of a disease or condition mediated by an αv integrin in a subject. The present disclosure provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof in treating or preventing a disease or condition mediated by an αv integrin in a subject. In one aspect, the disease or condition is a disease or condition in which angiogenesis is involved. In a further aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved.

The present disclosure also provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof in the manufacture of a medicament for the treatment or prevention of an αvβ3, αvβ5, αvβ6 and/or αvβ8 integrin-mediated disease or condition in a subject. The present disclosure provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof in treating or preventing of an αvβ3, αvβ5, αvβ6 and/or αvβ8 integrin-mediated disease or condition in a subject. In one aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved. In one aspect, the disease or condition is macular degeneration. In one aspect, the disease or condition is age-related macular degeneration (AMD). In one aspect, the disease or condition is diabetic retinopathy (DR). In one aspect, the disease or condition is diabetic macular edema (DME). In one aspect, the disease or condition is macular edema following retinal vein occlusion (RVO). In one aspect, the condition is fibrosis of the liver, kidney, intestine, lung, and heart. In one aspect, the disease is a renal disease, a respiratory disease, a gastrointestinal disease, a cardiovascular disease, a bone and articular disease, a skin disease, an obstetric disease, or a urologic disease.

Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. In the case of conflict, the present specification, including definitions, will control. In the specification, the singular forms also include the plural unless the context clearly dictates otherwise. Although methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present disclosure, suitable methods and materials are described below. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference. The references cited herein are not admitted to be prior art to the claimed disclosure. In addition, the materials, methods, and examples are illustrative only and are not intended to be limiting.

Other features and advantages of the disclosure will be apparent from the following detailed description and claims.

DETAILED DESCRIPTION OF THE DISCLOSURE Compounds of the Disclosure

The present disclosure relates to novel compounds of formula I:

or a pharmaceutically acceptable salt or solvate thereof, wherein:

Z is

Q is

X is CR₄ or N;

Y is CR₄ or N;

R₁ is H, F, Cl, C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms;

R₂ and R₃ are each independently H, F, CH₂F, CHF₂, or CF₃, provided that one of R₂ and R₃ is not H;

each R₄ is independently H, CH₂F, CHF₂, or CF₃;

R₅₁ and R₅₂ are each independently H, F, or Cl;

W is R₆₂, NR₆₁R₆₂, NR₆₁C(O)NR₆₁R₆₂, NR₆₁C(O)OR₆₂, NR₆₁C(O)R₆₂, or NR₆₁C(S)NR₆₁R₆₂,

R₆₁ is H or C₁-C₄ alkyl;

R₆₂ is C₁-C₄ alkyl, C₆-C₁₀ aryl, or heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S wherein the aryl and heterocyclyl are optionally substituted with one or more halogen, amino, C₁-C₃ alkylamino, or C₁-C₃ dialkylamino; and

n is 1 or 2.

In one aspect, Z is

In another aspect, Z is

In another aspect, Z is

In one aspect, Q is

In one aspect, X is N and Y is CR₄. In another aspect, X and Y are each CR₄. In another aspect, X and Y are each N.

In one aspect, at least one R₄ is H. In one aspect, at least one R₄ is CH₂F, CHF₂, or CF₃. In a further aspect, at least one R₄ is CF₃.

In one aspect, R₁ is H. In another aspect, R₁ is F, Cl, C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms. In a further aspect, R₁ is F or Cl. In another aspect, R₁ is C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms.

In a further aspect, R₁ is straight chain C₁-C₄ or branched C₃-C₄ alkyl, and is substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms. In a further aspect, R₁ is methyl, ethyl, propyl, or butyl, and is substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms. In a further aspect, R₁ is methyl substituted with 1, 2, or 3 fluorine atoms. In a further aspect, R₁ is CF₃.

In another further aspect, R₁ is straight chain C₁-C₄ or branched C₃-C₄ alkoxy, and is substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms. In a further aspect, R₁ is methoxy, ethoxy, propoxy, or butoxy, and is substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms. In a further aspect, R₁ is methoxy substituted with 0, 1, 2, or 3 fluorine atoms. In a further aspect, R₁ is OCH₃, OCH₂F, OCHF₂, or OCF₃. In a further aspect, R₁ is OCHF₂ or OCF₃.

In one aspect, R₅₁ and R₅₂ are each H. In another aspect, one of R₅₁ and R₅₂ is H, and the other is F or Cl. In a further aspect, one of R₅₁ and R₅₂ is H, and the other is F. In another aspect, R₅₁ and R₅₂ are each F or Cl.

In another aspect, Q is

In one aspect, R₂ is F. In a further aspect, R₂ is F and R₃ is H. In another aspect, R₂ is CH₂F, CHF₂, or CF₃.

In one aspect, R₃ is F. In a further aspect, R₃ is F and R₂ is H. In another aspect, R₃ is CH₂F, CHF₂, or CF₃. In a further aspect, R₃ is CF₃. In a further aspect, R₃ is CF₃ and R₂ is H.

In one aspect, R₂ and R₃ are each F.

In one aspect, W is R₆₂, NHR₆₂, NHC(O)NHR₆₂, NHC(O)OR₆₂, NHC(O)R₆₂, or NHC(S)NHR₆₂. In another aspect, W is R₆₂, NHR₆₂, NHC(O)NHR₆₂, NHC(O)OR₆₂, NHC(O)R₆₂, or NHC(S)NHR₆₂ and R₆₂ is C₁-C₄ alkyl, C₆-C₁₀ aryl, or heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S, wherein the aryl and heteroaryl are optionally substituted with one or more halogen, amino, C₁-C₃ alkylamino, or C₁-C₃ dialkylamino. In another aspect, W is R₆₂, NHR₆₂, NHC(O)NHR₆₂, NHC(O)OR₆₂, NHC(O)R₆₂, or NHC(S)NHR₆₂ and R₆₂ is methyl, ethyl, n-propyl, i-propyl, phenyl, or heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S, wherein the phenyl and heteroaryl are optionally substituted with one to two halogen, amino, C₁-C₃ alkylamino, or C₁-C₃ dialkylamino. In another aspect, W is R₆₂, NHR₆₂, NHC(O)NHR₆₂, NHC(O)OR₆₂, NHC(O)R₆₂, or NHC(S)NHR₆₂ and R₆₂ is methyl, ethyl, phenyl optionally substituted with one to two halogen, or heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S and optionally substituted with one to two C₁-C₃ alkylamino. In another aspect, W is R₆₂, NHR₆₂, NHC(O)NHR₆₂, NHC(O)OR₆₂, NHC(O)R₆₂, or NHC(S)NHR₆₂ and R₆₂ is methyl, ethyl, phenyl optionally substituted with one to two halogen, or heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S and optionally substituted with one to two methylamino, ethylamino, n-propylamino or i-propylamino. In further aspect, W is R₆₂, NHR₆₂, NHC(O)NHR₆₂, NHC(O)OR₆₂, NHC(O)R₆₂, or NHC(S)NHR₆₂ and R₆₂ is methyl, ethyl, phenyl optionally substituted with one to two fluoro, or heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S and optionally substituted with one to two methylamino or ethylamino.

In another aspect, W is R₆₂ or NHR₆₂. In another aspect, W is R₆₂ or NHR₆₂ and R₆₂ is heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S, optionally substituted with one or more amino, C₁-C₃ alkylamino, or C₁-C₃ dialkylamino. In another aspect, W is R₆₂ or NHR₆₂ and R₆₂ is heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S, optionally substituted with one to two amino, C₁-C₃ alkylamino, or C₁-C₃ dialkylamino. In another aspect, W is R₆₂ or NHR₆₂ and R₆₂ is heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S, optionally substituted with one or more C₁-C₃ alkylamino. In another aspect, W is

In another aspect, W is NHC(O)NHR₆₂, NHC(O)OR₆₂, NHC(O)R₆₂, or NHC(S)NHR₆₂ and R₆₂ is methyl, ethyl or phenyl optionally substituted with one or more halogen. In another aspect, W is NHC(O)NHR₆₂ or NHC(S)NHR₆₂ and R₆₂ is phenyl optionally substituted with one or more halogen. In another aspect, W is NHC(O)OR₆₂ or NHC(O)R₆₂, and R₆₂ is C₁-C₃ alkyl. In another aspect, W is NHC(O)OR₆₂ or NHC(O)R₆₂, and R₆₂ is methyl or ethyl.

In one aspect, n is 1. In another aspect, n is 2.

Any of the substituent groups illustrated above for any of W, X, Y, Z, Q, R₁, R₂, R₃, R₄, R₅₁, R₅₂, R₆₁, R₆₂, and n can be combined with any of the substituent groups illustrated above for the remaining of W, X, Y, Z, Q, R₁, R₂, R₃, R₄, R₅₁, R₅₂, R₆₁, R₆₂, and n.

In one aspect, Q is

X is N or CH; Y is CR₄; R₄ is CH₂F, CHF₂, or CF₃; and R₁ is F or Cl. In a further aspect, R₄ is CF₃; and R₁ is F or Cl. In a further aspect, R₁ is F. In another further aspect, R₁ is Cl.

In one aspect, Q is

X is N or CH; Y is CR₄; R₄ is CH₂F, CHF₂, or CF₃; and R₁ is H. In a further aspect, R₄ is CF₃; and R₁ is H.

In one aspect, Z is

Q is

and R₁ is Cl, F, C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms. In a further aspect, R₁ is Cl or F. In another further aspect, R₁ is methyl substituted with 1, 2, or 3 fluorine atoms or methoxy substituted with 0, 1, 2, or 3 fluorine atoms. In a further aspect, R₁ is OCHF₂ or OCF₃; X is N; and Y is CH. In another further aspect, R₁ is CF₃; X is N; and Y is N.

In one aspect, Z is

Q is

and R₁ is Cl, F, C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms. In a further aspect, R₁ is Cl or F. In a further aspect, R₄ is CH₂F, CHF₂, or CF₃. In a further aspect, X is CH; Y is CR₄; R₁ is Cl; and R₄ is CF₃.

In one aspect, Z is

Q is

and R₅₁ and R₅₂ are each H. In another aspect, one of R₅₁ and R₅₂ is H, and the other is F or Cl. In a further aspect, one of R₅₁ and R₅₂ is H, and the other is F. In a further aspect, X is CH; Y is CR₄; and R₄ is CF₃.

In one aspect, Z is

Q is

and R₁ is Cl, F, C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms. In a further aspect, R₁ is Cl or F. In another aspect, R₁ is methyl substituted with 1, 2, or 3 fluorine atoms or methoxy substituted with 0, 1, 2, or 3 fluorine atoms. In a further aspect, R₁ is OCHF₂ or OCF₃; X is N; and Y is CH. In a further aspect, R₁ is CF₃; X is N; and Y is N.

In one aspect, Z is

Q is

and R₁ is Cl, F, C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms. In a further aspect, R₁ is Cl or F. In a further aspect, R₄ is CH₂F, CHF₂, or CF₃. In a further aspect, X is CH; Y is CR₄; R₁ is Cl; and R₄ is CF₃.

In one aspect, Z is

Q is

and R₅₁ and R₅₂ are each H. In another aspect, one of R₅₁ and R₅₂ is H, and the other is F or Cl. In a further aspect, one of R₅₁ and R₅₂ is H, and the other is F. In a further aspect, X is CH; Y is CR₄; and R₄ is CF₃.

In one aspect, Z is

Q is

and R₁ is Cl, F, C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms. In a further aspect, R₁ is Cl or F. In another aspect, R₁ is methyl substituted with 1, 2, or 3 fluorine atoms or methoxy substituted with 0, 1, 2, or 3 fluorine atoms. In a further aspect, R₁ is OCHF₂ or OCF₃; X is N; and Y is CH. In a further aspect, R₁ is CF₃; X is N; and Y is N.

In one aspect, Z is

Q is

and R₁ is Cl, F, C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms. In a further aspect, R₁ is Cl or F. In a further aspect, R₄ is CH₂F, CHF₂, or CF₃. In a further aspect, X is CH; Y is CR₄; R₁ is Cl; and R₄ is CF₃.

In one aspect, Z is

Q is

and R₁ is H. In a further aspect, R₄ is CH₂F, CHF₂, or CF₃. In a further aspect, X is CH; Y is CR₄; R₁ is H; and R₄ is CF₃.

In one aspect, Z is

Q is

and R₅₁ and R₅₂ are each H. In another aspect, one of R₅₁ and R₅₂ is H, and the other is F or Cl. In a further aspect, one of R₅₁ and R₅₂ is H, and the other is F. In a further aspect, X is CH; Y is CR₄; and R₄ is CF₃.

In one aspect, Z is

Q is

and R₅₁ and R₅₂ are each H. In a further aspect, X is CH; Y is CR₄; and R₄ is CF₃.

In one aspect, Z is

Q is

and R₅₁ and R₅₂ are each H. In a further aspect, X is CH; Y is CR₄; R₄ is CF₃, and n is 1.

In one aspect, Z is

Q is

and R₅₁ and R₅₂ are each H. In a further aspect, X is CH; Y is CR₄; R₄ is CF₃, and n is 2.

In one aspect, a compound of present disclosure is of formula II:

or a pharmaceutically acceptable salt or solvate thereof, wherein each of the variables is as defined above. Compounds of the present disclosure include compounds of formula II, wherein the variables and combinations thereof are illustrated in the various aspects of formula I above.

In one aspect, a compound of present disclosure is of formula IIIa or IIIb:

or a pharmaceutically acceptable salt or solvate thereof, wherein each of the other variables is as defined above. Compounds of the present disclosure include compounds of formula IIIa or IIIb, wherein the variables and combinations thereof are illustrated in the various aspects of formula I above.

In one aspect, Q is

In one aspect, X is N and Y is CR₄. In another aspect, X and Y are each CR₄. In another aspect, X and Y are each N.

In one aspect, at least one R₄ is H. In one aspect, at least one R₄ is CH₂F, CHF₂, or CF₃. In a further aspect, at least one R₄ is CF₃.

In one aspect, a compound of present disclosure is of formula IVa or IVb:

or a pharmaceutically acceptable salt or solvate thereof, wherein R_(4′) is CH₂F, CHF₂, or CF₃, and each of the other variables are as defined above. Compounds of the present disclosure include compounds of formula IVa or IVb, wherein the variables and combinations thereof are illustrated in the various aspects of formula I above.

In one aspect, R₁ is H, F, or Cl. In a further aspect, R₁ is H.

In one aspect, R_(4′) is CF₃.

Representative compounds of the present disclosure include the compounds listed in Table 1.

TABLE 1 Cmpd # Chemical Structure A1

A1s

A2

A2s

A3

A3s

A4

A4s

A5

A5s

A6

A6s

A7

A7s

A8

A8s

A9

A9s

A10

A10s

A11

A11s

A12

A12s

A13

A13s

A14

A14s

In one aspect, a compound of the present disclosure inhibits the activity of one or more αv integrins (e.g., αvβ3, αvβ5, αvβ6, and αvβ8). In a further aspect, a compound of the present disclosure inhibits the activity of αvβ3. In another further aspect, a compound of the present disclosure inhibits the activity of αvβ5. In another further aspect, a compound of the present disclosure inhibits the activity of αvβ6. In another further aspect, a compound of the present disclosure inhibits the activity of αvβ8. In yet another further aspect, a compound of the present disclosure inhibits the activity of αvβ3 and αvβ5. In yet another further aspect, a compound of the present disclosure inhibits the activity of αvβ6 and αvβ8. In a further aspect, a compound of the present disclosure inhibits the activity of αvβ3, αvβ5, αvβ6, and/or αvβ8 at a submicromolar concentration, e.g., below 1 μM, 0.8 μM, 0.6 μM, 0.5 μM, 0.2 μM, or 0.1 μM.

In one aspect, a compound of the present disclosure inhibits cellular adhesion to vitronectin through the αv integrin (e.g., αvβ3 and αvβ5) at or below an IC₅₀ of 2.0E-07 M using a human dermal microvascular endothelial cell (HMVEC) assay. In a further aspect, a compound of the present disclosure inhibits cellular adhesion to vitronectin through the αv integrin (e.g., αvβ3 and αvβ5) at or below an IC₅₀ of 2.5E-08 M using an HMVEC assay. In a further aspect, a compound of the present disclosure inhibits cellular adhesion to vitronectin through the αv integrin (e.g., αvβ3 and αvβ5) at or below an IC₅₀ of 1.0E-08 M using an HMVEC assay. In one aspect, a compound of the present disclosure inhibits cellular adhesion to vitronectin through the αv integrin (e.g., αvβ3 and αvβ5) at or below an IC₅₀ of 2.5E-07 M using a rat lung microvascular endothelial cell (RLMVEC) assay. In a further aspect, a compound of the present disclosure inhibits cellular adhesion to vitronectin through the αv integrin (e.g., αvβ3 and αvβ5) at or below an IC₅₀ of 3.5E-08 M using an RLMVEC assay. In one aspect, a compound of the present disclosure inhibits cellular adhesion to vitronectin through the αv integrin (e.g., αvβ3 and αvβ5) at or below an IC₅₀ of 2.0E-08 M using a rabbit aortic endothelial cell (RAEC) assay. In a further aspect, a compound of the present disclosure inhibits cellular adhesion to vitronectin through the αv integrin (e.g., αvβ3 and αvβ5) at or below an IC₅₀ of 1.0E-08 M using an RAEC assay.

In one aspect, a compound of the present disclosure inhibits cellular adhesion to fibronectin through the αv integrin (e.g., αvβ6 and αvβ8) at a micromolar concentration (e.g., at or below an IC₅₀ of 1.0E-05 M using a fibronectin binding assay). In a further aspect, a compound of the present disclosure inhibits cellular adhesion to fibronectin through the αv integrin (e.g., αvβ6 and αvβ8) at a submicromolar concentration (e.g., at or below an IC₅₀ of 1.0E-06 M using a fibronectin binding assay). In one aspect, a compound of the present disclosure inhibits cellular adhesion to fibronectin through the αv integrin (e.g., αvβ6 and αvβ8) at a nanomolar concentration (e.g., at or below an IC₅₀ of 1.0E-08 M using a fibronectin binding assay). In a further aspect, a compound of the present disclosure inhibits cellular adhesion to fibronectin through the αv integrin (e.g., αvβ6 and αvβ8) at a subnanomolar concentration (e.g., at or below an IC₅₀ of 1.0E-09 M using a fibronectin binding assay).

In one aspect, the compounds of the present disclosure are selective for one αv integrin (e.g., αvβ3, αvβ5, αvβ6, or αvβ8) over other αv integrins (e.g., αvβ3, αvβ5, αvβ6, or αvβ8). As used herein, “selective” means that a compound, for example a compound of the disclosure, inhibits one αv integrin to a greater extent than other αv integrins.

A “selective αv integrin inhibitor” can be identified, for example, by comparing the ability of a compound to inhibit one αv integrin activity to its ability to inhibit other αv integrins. For example, a compound may be assayed for its ability to inhibit αvβ6 activity, as well as αvβ3, αvβ5, and αvβ8 or other αv integrins.

In certain embodiments, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for one αv integrin over other αv integrins as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for one αv integrin over other αv integrins. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for one αv integrin over other αv integrins. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for one αv integrin over other αv integrins.

In one embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for αvβ3 over the αvβ5, αvβ6, and/or αvβ8 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for αvβ3 over the αvβ5, αvβ6, and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for αvβ3 over the αvβ5, αvβ6, and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for αvβ3 over the αvβ5, αvβ6, and/or αvβ8 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for αvβ5 over the αvβ3, αvβ6, and/or αvβ8 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for αvβ5 over the αvβ3, αvβ6, and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for αvβ5 over the αvβ3, αvβ6, and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for αvβ5 over the αvβ3, αvβ6, and/or αvβ8 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for αvβ6 over the αvβ3, αvβ5, and/or αvβ8 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for αvβ6 over the αvβ3, αvβ5, and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for αvβ6 over the αvβ3, αvβ5, and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for αvβ6 over the αvβ3, αvβ5, and/or αvβ8 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for αvβ6 over the αvβ8 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for αvβ6 over the αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for αvβ6 over the αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for αvβ6 over the αvβ8 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for αvβ8 over the αvβ3, αvβ5, and/or αvβ6 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for αvβ8 over the αvβ3, αvβ5, and/or αvβ6 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for αvβ8 over the αvβ3, αvβ5, and/or αvβ6 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for αvβ8 over the αvβ3, αvβ5, and/or αvβ6 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for αvβ8 over the αvβ6 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for αvβ8 over the αvβ6 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for αvβ8 over the αvβ6 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for αvβ8 over the αvβ6 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for each of αvβ6 and αvβ8 over the αvβ3 and/or αvβ5 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for each of αvβ6 and αvβ8 over the αvβ3 and/or αvβ5 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for each of αvβ6 and αvβ8 over the αvβ3 and/or αvβ5 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for each of αvβ6 and αvβ8 over the αvβ3 and/or αvβ5 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for each of αvβ3 and αvβ5 over the αvβ6 and/or αvβ8 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for each of αvβ3 and αvβ5 over the αvβ6 and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for each of αvβ3 and αvβ5 over the αvβ6 and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for each of αvβ3 and αvβ5 over the αvβ6 and/or αvβ8 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for each of αvβ5 and αvβ6 over the αvβ3 and/or αvβ8 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for each of αvβ5 and αvβ6 over the αvβ3 and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for each of αvβ5 and αvβ6 over the αvβ3 and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for each of αvβ5 and αvβ6 over the αvβ3 and/or αvβ8 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for each of αvβ3 and αvβ6 over the αvβ5 and/or αvβ8 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for each of αvβ3 and αvβ6 over the αvβ5 and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for each of αvβ3 and αvβ6 over the αvβ5 and/or αvβ8 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for each of αvβ3 and αvβ6 over the αvβ5 and/or αvβ8 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for each of αvβ3 and αvβ8 over the αvβ5 and/or αvβ6 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for each of αvβ3 and αvβ8 over the αvβ5 and/or αvβ6 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for each of αvβ3 and αvβ8 over the αvβ5 and/or αvβ6 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for each of αvβ3 and αvβ8 over the αvβ5 and/or αvβ6 integrin.

In another embodiment, the compounds of the disclosure exhibit at least 1.2-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10-fold, 25-fold, 50-fold or 100-fold selectivity for each of αvβ5 and αvβ8 over the αvβ3 and/or αvβ6 integrin (e.g., as measured by IC₅₀). In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.2-fold to 5-fold, 1.2-fold to 10-fold, 1.2-fold to 25-fold, 1.2-fold to 50-fold, 1.2-fold to 100-fold, 1.2-fold to 500-fold, 1.2-fold to 1000-fold, 1.5-fold to 2-fold, 1.5-fold to 5-fold, 1.5-fold to 10-fold, 1.5-fold to 25-fold, 1.5-fold to 50-fold, 1.5-fold to 100-fold, 1.5-fold to 500-fold, 1.5-fold to 1000-fold, 2-fold to 5-fold, 2-fold to 10-fold, 2-fold to 25-fold, 2-fold to 50-fold, 2-fold to 100-fold, 2-fold to 500-fold, 2-fold to 1000-fold, 5-fold to 10-fold, 5-fold to 25-fold, 5-fold to 50-fold, 5-fold to 100-fold, 5-fold to 500-fold, 5-fold to 1000-fold, 10-fold to 25-fold, 10-fold to 50-fold, 10-fold to 100-fold, 10-fold to 500-fold, or 10-fold to 1000-fold selectivity for each of αvβ5 and αvβ8 over the αvβ3 and/or αvβ6 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, 10-fold to 25-fold, 25-fold to 50-fold, 50-fold to 100-fold, or 100-fold to 1000-fold selectivity for each of αvβ5 and αvβ8 over the αvβ3 and/or αvβ6 integrin. In various embodiments, the compounds of the disclosure exhibit up 1.2-fold to 1.5-fold, 1.2-fold to 2-fold, 1.5-fold to 2-fold, 2-fold to 5-fold, 5-fold to 10-fold, or 10-fold to 25-fold selectivity for each of αvβ5 and αvβ8 over the αvβ3 and/or αvβ6 integrin.

In one aspect, a compound of the present disclosure inhibits or decreases formation of blood vessels in a tissue or organ, in vivo or in vitro. In one aspect, a compound of the present disclosure decreases the formation of blood vessels below 90%, 80%, 70%, 60%, 50%, 40%, 30%, 20%, 10%, or 5%, as compared to that in an untreated control. In a further aspect, a compound of the present disclosure decreases the formation of blood vessels below 60%, 50%, 40%, 30%, 20%, 10%, or 5%, as compared to that in an untreated control. In a further aspect, a compound of the present disclosure decreases the formation of blood vessels below 40%, 30%, 20%, 10%, or 5%, as compared to that in an untreated control. In one aspect, the tissue is a tissue from the eye, such as a retinal tissue. In one aspect, the organ is the eye.

In one aspect, a compound of the present disclosure is efficiently distributed to the back of the eye, e.g., retina, after topical administration. In one aspect, a compound of the present disclosure is efficiently distributed to the retina within 12 hours, 10 hours, 8 hours, 6 hours, 4 hours, 2 hours, or 1 hour, after topical administration to the eye. In a further aspect, a compound of the present disclosure is efficiently distributed to the retina within 8 hours, 6 hours, 4 hours, 2 hours, or 1 hour, after topical administration to the eye.

In one aspect, a compound of the present disclosure inhibits or decreases formation of fibrotic tissue in an organ (e.g., kidney, lung, liver, and heart). In one aspect, a compound of the present disclosure decreases the formation of fibrotic tissue below 90%, 80%, 70%, 60%, 50%, 40%, 30%, 20%, 10%, or 5%, as compared to that in an untreated control. In a further aspect, a compound of the present disclosure decreases the formation of fibrotic tissue below 60%, 50%, 40%, 30%, 20%, 10%, or 5%, as compared to that in an untreated control. In a further aspect, a compound of the present disclosure decreases the formation of fibrotic tissue below 40%, 30%, 20%, 10%, or 5%, as compared to that in an untreated control.

Synthesis of the Compounds of the Disclosure

Compounds of the present disclosure can be conveniently prepared by a variety of methods familiar to those skilled in the art (i.e., according to the methods described in WO 2014/124302, the entire contents of which are incorporated by reference). The compounds of any of the formulae described herein or selected from the individual compounds described herein may be prepared according to the following procedures from commercially available starting materials or starting materials which can be prepared using literature procedures. These procedures show the preparation of representative compounds of this disclosure. It is understood that compounds of the present disclosure other than those illustrated in the following schemes can be made using these schemes with modifications commonly known in the art (i.e., using different starting material, changing reaction solvents, or adjusting reaction duration or temperature).

Preferred methods include, but are not limited to, those methods described below. Compounds of the present disclosure can be synthesized by following the steps outlined in General Schemes 1, 2, 3, 4, and 5 which comprise different sequences of assembling Intermediates 1-31. Starting materials are either commercially available or made by known procedures in the reported literature or as illustrated.

wherein Q is defined as in formula I.

The general way of preparing intermediates of Formula 8 by using intermediates 1-7 is outlined in General Scheme 1. Coupling of bromide 1 with tert-butyl acrylate using a catalytic amount of a palladium catalyst (i.e., palladium (II) acetate (Pd(OAc)₂)), an alkyl or aryl phosphine (i.e., tri(o-tolyl)phosphine (P(o-tol)₃),) and a base, i.e., triethylamine (Et₃N), in a solvent, i.e., dimethylformamide (DMF), at elevated temperatures provides intermediate 2. Amination of intermediate 2 with amine 3 using a strong base, i.e., n-butyl lithium (n-BuLi), and in a solvent (i.e., tetrahydrofuran (THF)) provides intermediate 4. Deprotection of intermediate 4 using a catalytic amount of a palladium catalyst (i.e., palladium hydroxide on carbon (Pd(OH)₂/C)), hydrogen (H₂) gas, and optionally an acid, i.e., acetic acid (AcOH), in a solvent, i.e., methanol (MeOH), provides amine 5. Treatment of 5 with 2,2-dimethoxyacetaldehyde and a drying agent, i.e., magnesium sulfate (MgSO₄), in a solvent, i.e., dichloromethane (DCM), provides imine 6. Reduction of imine 6 using a borohydride reducing agent, i.e., sodium borohydride (NaBH₄) or sodium cyanoborohydride (NaBH(CN₃)), in a solvent, i.e., MeOH, provides amine 7. Acylation of amine 7 using triphosgene and a base, i.e., Et₃N, in a solvent, i.e., acetonitrile (ACN), provides intermediate 8.

The general way of preparing intermediate 15 by using intermediates 3 and 9-14 is outlined in General Scheme 2. Alkylation of 9 using sodium 2-chloro-2,2-difluoroacetate in a solvent (i.e., ACN) and optionally at elevated temperature provides bromide 10. Coupling of bromide 10 with tert-butyl acrylate using a catalytic amount of a palladium catalyst (i.e., Pd(OAc)₂), an alkyl or aryl phosphine, i.e., P(o-tol)₃, and a base, i.e., Et₃N, in a solvent, i.e., DMF, at elevated temperatures provides intermediate 11. Amination of intermediate 11 with amine 3 using a strong base, i.e., n-BuLi, and in a solvent (i.e., THF) provides intermediate 12. Deprotection of intermediate 12 using a catalytic amount of a palladium catalyst (i.e., palladium on carbon (Pd/C)) and H₂ gas in a solvent, i.e., methanol (MeOH) or DCM, provides amine 13. Treatment of 13 with 2,2-dimethoxyacetaldehyde and a drying agent, i.e., magnesium sulfate (MgSO₄), in a solvent, i.e., dichloromethane (DCM), provides imine 14. Reduction of imine 14 using a borohydride reducing agent, i.e., NaBH₄ or NaBH(CN₃), in a solvent, i.e., MeOH, provides intermediate 15.

wherein Q is defined as in formula I.

The general way of preparing intermediate 21 by using intermediates 16-20 is outlined in General Scheme 3. Coupling of bromide 16 with tert-butyl acrylate using a catalytic amount of a palladium catalyst (i.e., Pd(OAc)₂), an alkyl or aryl phosphine, i.e. P(o-tol)₃, and a base, i.e., Et₃N, in solvent, i.e., DMF, at elevated temperatures provides intermediate 17. Amination of intermediate 17 with amine 3 using a strong base, i.e., n-BuLi, and in a solvent (i.e., THF) provides intermediate 18. Deprotection of intermediate 18 using a catalytic amount of a palladium catalyst (i.e., Pd(OH)₂/C or Pd/C) and H₂ gas in a solvent, i.e., MeOH or DCM, provides amine 19. Treatment of 19 with 2,2-dimethoxyacetaldehyde and a drying agent, i.e., MgSO₄, in a solvent, i.e., DCM, provides imine 20. Reduction of imine 20 using a borohydride reducing agent, i.e., NaBH₄) or NaBH(CN₃), in a solvent, i.e., MeOH, provides intermediate 21.

wherein W, Q, and n are defined as in formula I.

The general way of preparing compounds of formula I by using intermediates 21-25 is outlined in General Scheme 4. Reaction of amine 21 with triphosgene and amine 22 in the presence of a base, i.e., Et₃N, and in a solvent, i.e., ACN or THF, provides urea 23. Cyclization of urea 23 using a strong acid, i.e., sulfuric acid (H₂SO₄), in a solvent, i.e., THF, provides intermediate 24. Hydrogenation of 24 using a catalytic amount of a palladium catalyst, i.e., Pd(OH)₂/C or Pd/C, and H₂ gas in a solvent, i.e., MeOH or DCM, provides intermediate 25. Deprotection of intermediate 25 using a strong acid such as trifluoroacetic acid (TFA) in a solvent, i.e., DCM provides the desired product of formula I.

wherein W, Q, and n are defined as in formula I.

Alternatively, compounds of formula I can be prepared by using intermediates 26-31 as outlined in General Scheme 5. Reaction of phosphoester 26 with aldehyde 27 in the presence of a strong base, i.e., potassium tert-butoxide (t-BuOK), and in a solvent, i.e., THF, provides ketone 28. Reduction of ketone 28 using a reducing agent, i.e., lithium aluminum hydride (LiAlH₄), in a solvent, i.e., THF, provides alcohol 29. Johnson-Claisen rearrangement of alcohol 29 with triethyl orthoformate and an acid, i.e., propionic acid (EtC(O)₂H), optionally in a solvent provides unsaturated ester 30. Reduction of 30 in the presence of a metal, i.e., Raney-Ni slurry in water, H₂ gas, and an acid (i.e., TFA) in a solvent, i.e., MeOH provides 31. De-esterification of intermediate 31 using a base such as aqueous sodium hydroxide (NaOH) in a solvent, i.e., MeOH, provides the desired product of formula I.

The compounds of the disclosure may contain one or more asymmetric centers and can thus occur as racemates and racemic mixtures, single enantiomers, diastereomeric mixtures and individual diastereomers. Additional asymmetric centers may be present depending upon the nature of the various substituents on the molecule. Each such asymmetric center will independently produce two optical isomers. It is intended that all of the possible optical isomers and diastereomers in mixtures and as pure or partially purified compounds are included within the ambit of the disclosure. The disclosure is meant to comprehend all such isomeric forms of these compounds.

The independent syntheses of these diastereomers or their chromatographic separations may be achieved as known in the art by appropriate modification of the methodology disclosed herein. Their absolute stereochemistry may be determined by the x-ray crystallography of crystalline products or crystalline intermediates which are derivatized, if necessary, with a reagent containing an asymmetric center of known absolute configuration.

If desired, racemic mixtures of the compounds may be separated so that the individual enantiomers are isolated. The separation can be carried out by methods well known in the art, such as contacting a racemic mixture of compounds with an enantiomerically pure compound to form a diastereomeric mixture, followed by separation of the individual diastereomers by standard methods, such as fractional crystallization or chromatography. The diastereomeric mixture is often a mixture of diastereomeric salts formed by contacting a racemic mixture of compounds with an enantiomerically pure acid or base. The diastereomeric derivatives may then be converted to the pure enantiomers by cleavage of the added chiral residue. The racemic mixture of the compounds can also be separated directly by chromatographic methods utilizing chiral stationary phases, which are well known in the art.

Alternatively, any enantiomer of a compound may be obtained by stereoselective synthesis using optically pure starting materials or reagents of known configuration by methods well known in the art.

Some of the compounds of the disclosure may exist in unsolvated as well as solvated forms such as, for example, hydrates.

“Solvate” means a solvent addition form that contains either a stoichiometric or non-stoichiometric amounts of the solvent molecules. Some compounds have a tendency to trap a fixed molar ratio of the solvent molecules in the crystalline solid state, thus forming a solvate. If the solvent is water, the solvate formed is a hydrate. When the solvent is alcohol, the solvate formed is an alcoholate. Hydrates are formed by the combination of one or more molecules of water with one of the substances (e.g., a compound of the disclosure) in which the water retains its molecular state as H₂O, such combination being able to form one or more hydrate. In hydrates, the water molecules are attached through secondary valencies by intermolecular forces, in particular hydrogen bridges. Solid hydrates contain water as so-called crystal water in stoichiometric ratios, where the water molecules do not have to be equivalent with respect to their binding state. Examples of hydrates include sesquihydrates, monohydrates, dehydrates, and trihydrates. Equally suitable are the hydrates of salts of the compounds of the disclosure.

For use in medicine, the salts of the compounds of the disclosure refer to non-toxic “pharmaceutically acceptable salts”. Other salts may, however, be useful in the preparation of the compounds of the disclosure or pharmaceutically acceptable salts thereof. Salts encompassed within the term “pharmaceutically acceptable salts” refer to non-toxic salts of the compounds of the disclosure which can be prepared by reacting the free base with a suitable organic or inorganic acid. Representative salts include the following: acetate, benzenesulfonate, benzoate, bicarbonate, bisulfate, bitartrate, borate, bromide, camsylate, carbonate, chloride, clavulanate, citrate, dihydrochloride, edetate, edisylate, estolate, esylate, fumarate, gluceptate, gluconate, glutamate, glycollylarsanilate, hexylresorcinate, hydrabamine, hydrobromide, hydrochloride, hydroxynaphthoate, iodide, isothionate, lactate, lactobionate, laurate, malate, maleate, mandelate, mesylate, methylbromide, methylnitrate, methylsulfate, mucate, napsylate, nitrate, N-methylglucamine ammonium salt, oleate, oxalate, pamottle (embonate), palmitate, pantothenate, phosphate/diphosphate, polygalacturonate, salicylate, stearate, sulfate, subacetate, succinate, tannate, tartrate, teoclate, tosylate, triethiodide, and valerate. Furthermore, where the compounds of the disclosure carry an acidic moiety, suitable pharmaceutically acceptable salts thereof may include alkali metal salts, e.g., sodium or potassium salts; alkaline earth metal salts, e.g., calcium or magnesium salts; and salts formed with suitable organic ligands, e.g., quaternary ammonium salts which may be derived from ammonia or organic amines, such as, for example, diethylamine, triethylamine, ethyldiisopropylamine, procaine, dibenzylamine, N-methylmorpholine, dehydroabietylamine, or methylpiperidine.

The disclosure includes within its scope prodrugs of the compounds of the disclosure. In general, such prodrugs will be functional derivatives of the compounds of the disclosure which are readily convertible in vivo into the required compound. Thus, in the methods of treatment of the disclosure, the term “administering” shall encompass the treatment of the various disease and conditions described with the compound specifically disclosed or with a compound which may not be specifically disclosed, but which converts to the specified compound in vivo after administration to the patient. Conventional procedures for the selection and preparation of suitable prodrug derivatives are described, for example, in “Design of Prodrugs,” ed. H. Bundgaard, Elsevier, 1985. Metabolites of these compounds include active species produced upon introduction of compounds of the disclosure into the biological milieu.

The disclosure also includes one or more metabolites of a compound of the disclosure.

The present disclosure also comprehends deuterium labeled compounds of any of the formulae or the individual compounds described herein, wherein a hydrogen atom is replaced by a deuterium atom. The deuterium labeled compounds comprise a deuterium atom having an abundance of deuterium that is substantially greater than the natural abundance of deuterium, e.g., 0.015%.

The term “deuterium enrichment factor” as used herein means the ratio between the deuterium abundance and the natural abundance of a deuterium. In one aspect, a compound of the disclosure has a deuterium enrichment factor for each deuterium atom of at least 3500 (52.5% deuterium incorporation at each deuterium atom), at least 4000 (60% deuterium incorporation), at least 4500 (67.5% deuterium incorporation), at least 5000 (75% deuterium), at least 5500 (82.5% deuterium incorporation), at least 6000 (90% deuterium incorporation), at least 6333.3 (95% deuterium incorporation), at least 6466.7 (97% deuterium incorporation), at least 6600 (99% deuterium incorporation), or at least 6633.3 (99.5% deuterium incorporation).

Deuterium labeled compounds can be prepared using any of a variety of art-recognized techniques. For example, deuterium labeled compounds of any of the formulae or the individual compounds described herein can generally be prepared by carrying out the procedures disclosed in the Schemes and/or Examples described herein, by substituting a readily available deuterium labeled reagent for a non-deuterium labeled reagent.

A compound of the disclosure or a pharmaceutically acceptable salt or solvate thereof that contains the aforementioned deuterium atom(s) is within the scope of the disclosure. Further, substitution with deuterium, i.e., ²H, can afford certain therapeutic advantages resulting from greater metabolic stability, for example, increased in vivo half-life and/or reduced dosage requirements.

In one aspect, the present disclosure relates to a method of synthesizing a compound of the disclosure or a pharmaceutically acceptable salt or solvate thereof.

Biological Assays of the Disclosure Cell Adhesion Assays

The ability of compounds of the disclosure to block cell adhesion to vitronectin and/or fibronectin may be tested with methods or techniques known in the art, for example, the procedure described below.

Adhesion plates preparation: Cell culture plates are coated with vitronectin or fibronectin.

Cell culturing and loading: Exemplary cells (e.g., HMVEC cells, RLMVEC cells, and RAEC cells) are used for the compound testing. Cells are grown and then suspended for testing.

Adhesion assay: Test compounds are added to the cell suspension. After incubation, the cells that do not adhere to vitronectin- or fibronectin-coated plates are removed by gentle washing. The number of the remaining cells is measured. IC₅₀ values are calculated.

αVβ6/αVβ8-LAP-TGF β1 Binding Assay

Integrins αVβ6/αVβ8 coupled beads are treated with an αVβ6/αVβ8 ligand (e.g., LAP TGF-β1 (LAP1)), and the complex is incubated with a primary antibody (Ab), which can be labeled for detection (e.g., fluorescently labeled), and optionally with a secondary antibody, which can be labeled for detection (e.g., fluorescently labeled). Reaction between integrin coupled beads and the ligand was considered as the full reaction, and reaction without the ligand or a compound of the disclosure was considered as the blank reaction. The complex is analyzed, e.g., by either plate reader or Flow Cytometer, to determine modulation of binding between αVβ6/αVβ8 and the ligand (e.g., LAP-TGF β1) by the compounds of the present application.

αV/β3/αVβ5-LAP-TGF β1 Binding Assay

Integrins αVβ3/αVβ5 coupled beads are treated with an αVβ3/αVβ5 ligand (e.g., vitronectin), and the complex is treated with a primary antibody (Ab), which can be labeled for detection (e.g., fluorescently labeled), and optionally with a secondary antibody, which can be labeled for detection (e.g., fluorescently labeled). Reaction between integrin coupled beads and the ligand was considered as the full reaction, and reaction without the ligand or a compound of the disclosure was considered as the blank reaction. The complex is analyzed, e.g., by either plate reader or Flow Cytometer, to determine modulation of binding between αVβ3/αVβ5 and the ligand (e.g., vitronectin) by the compounds of the present application.

Anti-Angiogenic Activity Assay

The anti-angiogenic ability of compounds of the disclosure may be tested with methods or techniques known in the art, for example, the procedure described below.

Chick chorioallantoic membrane (CAM) is grafted with gelatin sponges impregnated with the test compounds and VEGF. Untreated CAM received only VEGF.

Albumin is removed from hen eggs and incubated. Grafts are placed on developing CAMs and further incubated. CAMs are then fixed, dissected and imaged for blood vessel growth.

Distribution in plasma, aqueous humor, vitreous humor, and retina of the compounds of the disclosure, and the in vivo safety and efficacy of the compounds of the disclosure may be tested using animals after administration of the compounds to the animals.

Fibrosis can be generally recognized based on the distinct morphology of fibrous tissue in a biopsy of the organ in which fibrosis is suspected. Other means for detecting the presence of fibrosis or developing fibrosis include computerized axial tomography (CAT or CT) scan, ultrasound, magnetic resonance imaging (MM), and monitoring the level of one or more serum markers known to be indicative of fibrosis (e.g., various types of collagens). The precise manner of diagnosing fibrosis also varies depending on the organ where the fibrotic process takes place. For instance, biopsies are generally effective for diagnosing fibrosis of most organs, whereas endoscopy involving a fiber optic instrument (e.g., a sigmoidoscope or a colonoscope) can be a less traumatic alternative to detect fibrosis of certain organs such as the intestine.

Biopsy for Detecting Fibrosis

Procedures for obtaining biopsy from a given organ or tissue are known, e.g., through exploratory surgery, or a biopsy needle. Upon obtaining a biopsy, the sample is examined and given a score to indicate the presence and level of fibrosis in the sample. Frequently used scoring systems include: the METAVIR scoring system, modified HAI (ISHAK) scoring system, and the Knodell scoring system. The criteria used in scoring are well established and known to those of skilled in the art.

Fibrosis Markers

There are numerous known serum markers whose level can be indicative of the presence and/or severity of fibrosis, including hyaluronic acid, laminin, undulin (type IV collagen) pro-peptides from types I, II, and IV collagens, lysyl oxidase, prolyl hydroxylase, lysyl hydroxylase, PIIINP, PICP, collagen VI, tenascin, collagen XIV, laminin P1, TIMP-1, MMP-2, α2 macroglobulin, haptoglobin, gamma glutamyl transpeptidase, γ globulin, total bilirubin, and apolipoprotein A1.

In Vivo Bleomycin Induced Pulmonary Fibrosis Model.

Experimental animals are randomly and prospectively assigned to groups. On day 0 and prior to bleomycin induction, animals are administered the first dose of vehicle or a compound of the present disclosure. Following dosing, all animals are anesthetized. A small diameter cannula is inserted into the trachea and saline or bleomycin is slowly infused into the lungs. Group 1 serves as an untreated control group and receives saline only (no bleomycin) on day 0. The other groups receive bleomycin on day 0. Treatments with vehicle (e.g., methylcellulose), positive control (e.g., Pirfenidone), or a compound of the present disclosure are administered once or twice daily via oral gavage (PO). All animals are weighed and evaluated daily for respiratory distress.

Prior to sacrifice, animals are anesthetized and once the animal is determined to be non-responsive a shallow incision is made. The trachea is isolated and a transverse cut is made between tracheal rings approximately half-way through the trachea. A tracheotomy is performed by the insertion of a cannula through the incision secured with surgical suture to the trachea. Following cannulation, the adapter end of the cannula is attached to the mechanical ventilator. The animal is ventilated and following an acclimation period, lung volume is standardized and each animal undergoes a measure of total respiratory impedance.

Pharmaceutical Compositions of the Disclosure

The present disclosure relates to pharmaceutical compositions comprising a compound of the disclosure as an active ingredient. In one aspect, the disclosure provides a pharmaceutical composition comprising at least one compound of formula I, or a pharmaceutically acceptable salt or solvate thereof and one or more pharmaceutically acceptable carriers or excipients. In one aspect, the disclosure provides a pharmaceutical composition comprising at least one compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof and one or more pharmaceutically acceptable carriers or excipients. In one aspect, the disclosure provides a pharmaceutical composition comprising at least one compound selected from Table 1.

As used herein, the term “composition” is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts.

The compounds of the disclosure can be formulated for oral administration in forms such as tablets, capsules (each of which includes sustained release or timed release formulations), pills, powders, granules, elixirs, tinctures, suspensions, syrups and emulsions. The compounds of the disclosure can also be formulated for intravenous (bolus or in-fusion), intraperitoneal, topical (e.g., ocular eye-drop), subcutaneous, intramuscular or transdermal (e.g., patch) administration, all using forms well known to those of ordinary skill in the pharmaceutical arts. For example, compounds of the disclosure for the treatment of macular degeneration, DR, DME, or macular edema following RVO, are formulated for topical administration, for example, in the form of eye-drops.

For topical ocular administration, the compositions are provided as ophthalmic formulation comprising a compound of the present disclosure in concentration between about 0.01 and about 5 weight percent, preferably between about 0.1 and about 5.0 weight percent, more preferably between about 0.5 and about 5.0 weight percent, and most preferably between about 0.8 and about 3.0 weight percent.

The ophthalmic formulation of the present disclosure may be in the form of an aqueous solution comprising an aqueous vehicle.

The aqueous vehicle component of the ophthalmic formulation may comprise water and at least one ophthalmically acceptable excipient. Preferably, the aqueous vehicle comprises a solution of the one or more ophthalmically acceptable excipients in water.

Suitable ophthalmically acceptable excipients include those selected from the group consisting of a solubility enhancing agent, chelating agent, preservative, tonicity agent, viscosity/suspending agent, buffer, and pH modifying agent, and a mixture thereof. Preferably, the ophthalmically acceptable excipient is selected from the group consisting of a solubility enhancing agent, chelating agent, preservative, tonicity agent, viscosity/suspending agent, and pH modifying agent, and a mixture thereof.

Any suitable ophthalmically acceptable solubility enhancing agent can be used. Examples of a solubility enhancing agent include cyclodextrin, such as those selected from the group consisting of hydroxypropyl-β-cyclodextrin, methyl-β-cyclodextrin, randomly methylated-β-cyclodextrin, ethylated-β-cyclodextrin, triacetyl-β-cyclodextrin, peracetylated-β-cyclodextrin, carboxymethyl-β-cyclodextrin, hydroxyethyl-β-cyclodextrin, 2-hydroxy-3-(trimethylammonio)propyl-β-cyclodextrin, glucosyl-β-cyclodextrin, sulphated β-cyclodextrin (S-β-CD), maltosyl-β-cyclodextrin, β-cyclodextrin sulfobutyl ether, branched-β-cyclodextrin, hydroxypropyl-γ-cyclodextrin, randomly methylated-γ-cyclodextrin, and trimethyl-γ-cyclodextrin, and mixtures thereof. Preferably, solubility enhancing agent includes β-cyclodextrin sulfobutyl ether, hydroxypropyl-β-cyclodextrin, sulphated β-cyclodextrin (S-β-CD), and maltosyl-β-cyclodextrin, and mixtures thereof. β-cyclodextrin sulfobutyl ether is a particularly preferred solubility enhancing agent. The solubility enhancing agent(s) may be added in an amount of about 1 to about 20 wt %, preferably about 1 to about 10 wt %, and more preferably about 5 to about 10 wt %.

Any suitable ophthalmically acceptable chelating agent can be used. Examples of a suitable ophthalmically acceptable chelating agent include those selected from the group consisting of ethylenediaminetetraacetic acid and metal salts thereof, disodium edetate, trisodium edetate, and tetrasodium edetate, and mixtures thereof. Disodium edetate is a particularly preferred chelating agent. The chelating agent(s) may be added in an amount of about 0.001 to about 0.05 wt %, preferably about 0.001 to about 0.02 wt %, more preferably about 0.002 to about 0.01 wt %, and most preferably about 0.002 to about 0.005 wt %.

Preferably, the aqueous vehicle includes a preservative. Preferred preservatives include those selected from the group consisting of quaternary ammonium salts such as benzalkonium halides (preferably benzalkonium chloride), chlorhexidine gluconate, benzethonium chloride, cetyl pyridinium chloride, benzyl bromide, phenylmercury nitrate, phenylmercury acetate, phenylmercury neodecanoate, merthiolate, methylparaben, propylparaben, sorbic acid, potassium sorbate, sodium benzoate, sodium propionate, ethyl p-hydroxybenzoate, propylaminopropyl biguanide, and butyl-p-hydroxybenzoate, sorbic acid, and mixtures thereof. More preferably, the preservative is a quaternary ammonium salt such as benzalkonium halides (preferably benzalkonium chloride), chlorhexidine gluconate, benzethonium chloride, cetyl pyridinium chloride, potassium sorbate, sodium benzoate, ethyl p-hydroxybenzoate, butyl p-hydroxybenzoate, or propylaminopropyl biguanide, or mixtures thereof. Propylaminopropyl biguanide is an especially preferred preservative. The preservative(s) may be used in an amount of about 0.00001 to about 0.0001 wt %, preferably about 0.00001 to about 0.00008 wt %, and more preferably about 0.00002 to about 0.00005 wt %.

The aqueous vehicle may also include a tonicity agent to adjust the tonicity (osmotic pressure) in order to achieve an ophthalmically compatible formulation. The tonicity agent can be selected from the group consisting of a glycol (such as propylene glycol, diethylene glycol, triethylene glycol), glycerol, dextrose, glycerin, mannitol, potassium chloride, and sodium chloride, and a mixture thereof. Preferably, the tonicity agent is selected from the group consisting of glycerin, mannitol, potassium chloride, and sodium chloride. More preferably mannitol and/or sodium chloride (and most preferably a mixture thereof) are employed. The tonicity agent(s) may be used in an amount of about 0.05 to about 8 wt %, preferably about 0.1 to about 6 wt %, more preferably about 0.1 to about 4 wt %, and most preferably about 0.2 to about 4 wt %.

When a mixture of mannitol and sodium chloride is used as tonicity agents, preferably the weight ratio of mannitol:sodium chloride is about 4:1 to about 15:1, more preferably about 6:1 to about 14:1, or 8:1 to about 14:1 and particularly about 10:1 to about 12:1. If mannitol alone is used as the tonicity agent, it is preferably used in an concentration of about 4.5 to about 6.5 wt %, and more preferably in a concentration of about 5.0 to about 5.5 wt %. If sodium chloride alone is used as the tonicity agent, it is used in a concentration of about 0.05 to about 8 wt %, preferably about 0.1 to about 6 wt %, more preferably about 0.1 to about 4 wt %, and most preferably about 0.2 to about 4 wt %.

The aqueous vehicle preferably also contains a viscosity/suspending agent. Suitable viscosity/suspending agents include those selected from the group consisting of cellulose derivatives, such as methyl cellulose, ethyl cellulose, hydroxyethylcellulose, polyethylene glycols (such as polyethylene glycol 300, polyethylene glycol 400), carboxymethyl cellulose, hydroxypropylmethyl cellulose, and cross-linked acrylic acid polymers (carbomers), such as polymers of acrylic acid cross-linked with polyalkenyl ethers or divinyl glycol (Carbopols—such as Carbopol 934, Carbopol 934P, Carbopol 971, Carbopol 974 and Carbopol 974P), and a mixture thereof. In preferred embodiments of the present disclosure, the viscosity/suspending agent is a carbomer, more preferably Carbopol 974P. The viscosity/suspending agent(s) may be present in an amount of about 0.05 to about 2 wt %, preferably 0.1 to about 1 wt %, more preferably about 0.2 to about 0.8 wt %, and most preferably about 0.3 to about 0.5 wt %.

In order to adjust the formulation to an ophthalmically acceptable pH (typically a pH range of about 5.0 to about 9.0, more preferably about 5.5 to about 8.5, particularly about 6.0 to about 8.5, about 7.0 to about 8.5, about 7.2 to about 7.7, about 7.1 to about 7.9, or about 7.5 to about 8.0), the formulation may contain a pH modifying agent. The pH modifying agent is typically a mineral acid or metal hydroxide base, selected from the group of potassium hydroxide, sodium hydroxide, and hydrochloric acid, and mixtures thereof, and preferably sodium hydroxide and/or hydrochloric acid. These acidic and/or basic pH modifying agents are added to adjust the formulation to the target ophthalmically acceptable pH range. Hence it may not be necessary to use both acid and base—depending on the formulation, the addition of one of the acid or base may be sufficient to bring the mixture to the desired pH range.

The aqueous vehicle may also contain a buffering agent to stabilize the pH. When used, the buffer is selected from the group consisting of a phosphate buffer (such as sodium dihydrogen phosphate and disodium hydrogen phosphate), a borate buffer (such as boric acid, or salts thereof including disodium tetraborate), a citrate buffer (such as citric acid, or salts thereof including sodium citrate), and ε-aminocaproic acid, and mixtures thereof. The buffer agent(s) may be present in an amount of about 0.05 to about 5 wt %, preferably 0.1 to about 5 wt %, more preferably about 0.2 to about 5 wt %, and most preferably about 0.5 to about 5 wt %.

The ophthalmic formulation for topical administration to the eye may further comprise a wetting agent. In any embodiment of the present disclosure the wetting agent is preferably a non-ionic wetting agent. More preferably, the wetting agent is water soluble or swellable. Most preferably the wetting agent is water soluble. “Water soluble” is to be understood in the manner used in standard texts such as the “Handbook of Pharmaceutical Excipients” (Raymond C Rowe, Paul J Sheskey and Sian C Owen, Fifth Edition, Pharmaceutical Press and American Pharmacists Association 2006). Suitable classes of wetting agents include those selected from the group consisting of polyoxypropylene-polyoxyethylene block copolymers (poloxamers), polyethoxylated ethers of castor oils, polyoxyethylenated sorbitan esters (polysorbates), polymers of oxyethylated octyl phenol (Tyloxapol), polyoxyl 40 stearate, fatty acid glycol esters, fatty acid glyceryl esters, sucrose fatty esters, and polyoxyethylene fatty esters, and mixtures thereof.

Specific examples of suitable wetting agents include those selected from the group consisting of: polyoxyethylene-polyoxypropylene block copolymers (poloxamers) such as: polyoxyethylene (160) polyoxypropylene (30) glycol [Pluronic F68], polyoxyethylene (42) polyoxypropylene (67) glycol [Pluronic P123], polyoxyethylene (54) polyoxypropylene (39) glycol [Pluronic P85], polyoxyethylene (196) polyoxypropylene (67) glycol [Poloxamer 407, Pluronic F127], polyoxyethylene (20) polyoxypropylene (20) glycol [Pluronic L44], polyoxyethylenated sorbitan esters (polysorbates) such as poly(oxyethylene)sorbitan monopalmitate (polysorbate 40), poly(oxyethylene)sorbitan monostearate (polysorbate 60), poly(oxyethylene)sorbitan tristearate (polysorbate 65), poly(oxyethylene) sorbitan monooleate (polysorbate 80), poly(oxyethylene) sorbitan monolaurate, poly(oxyethylene) sorbitan trioleate, polyethoxylated ethers of castor oils such as polyoxyethylene hydrogenated castor oil 10, polyoxyethylene hydrogenated castor oil 40, polyoxyethylene hydrogenated castor oil 50 and polyoxyethylene hydrogenated castor oil 60, polyoxyl 40 stearate, sucrose fatty esters, and polyoxyethylene fatty esters, and mixtures thereof.

Preferably, the wetting agent is selected from the group consisting of: polyoxyethylene-polyoxypropylene block copolymers (poloxamers) such as: polyoxyethylene (160) polyoxypropylene (30) glycol [Pluronic F68], polyoxyethylene (42) polyoxypropylene (67) glycol [Pluronic P123], polyoxyethylene (54) polyoxypropylene (39) glycol [Pluronic P85], polyoxyethylene (196) polyoxypropylene (67) glycol [Poloxamer 407, Pluronic F127], and polyoxyethylene (20) polyoxypropylene (20) glycol [Pluronic L44], polyoxyethylenated sorbitan esters (polysorbates) such as poly(oxyethylene)sorbitan monopalmitate (polysorbate 40), poly(oxyethylene)sorbitan monostearate (polysorbate 60), poly(oxyethylene)sorbitan tristearate (polysorbate 65), poly(oxyethylene) sorbitan monooleate (polysorbate 80), poly(oxyethylene) sorbitan monolaurate, and poly(oxyethylene) sorbitan trioleate and mixtures thereof.

More preferably, the wetting agent is a polyoxyethylene-polyoxypropylene block copolymer (poloxamer). Examples of suitable poloxamers include: polyoxyethylene (160) polyoxypropylene (30) glycol [Pluronic F68], polyoxyethylene (42) polyoxypropylene (67) glycol [Pluronic P123], polyoxyethylene (54) polyoxypropylene (39) glycol [Pluronic P85], polyoxyethylene (196) polyoxypropylene (67) glycol [Poloxamer 407, Pluronic F127] and polyoxyethylene (20) polyoxypropylene (20) glycol [Pluronic L44] or a mixture thereof.

Further preferred are wetting agents selected from the group consisting of polyoxyethylene (42) polyoxypropylene (67) glycol [Pluronic PI 23], polyoxyethylene (54) polyoxypropylene (39) glycol [Pluronic P85], polyoxyethylene (196) polyoxypropylene (67) glycol [Poloxamer 407, Pluronic F127] and mixtures thereof.

An especially preferred wetting agent is polyoxyethylene (196) polyoxypropylene (67) glycol [Poloxamer 407, Pluronic F127].

Particularly preferred formulations for topical administration to the eye of the present disclosure comprise a compound of the present disclosure, a solubility enhancing agent, a cheating agent, a preservative, a tonicity agent, a viscosity/suspending agent, a buffer, and a pH modifying agent. More particularly preferred formulations are comprised of an aqueous solution of a β-cyclodextrin, a borate salt, boric acid, sodium chloride, disodium edetate, and propylaminopropyl biguanide.

In one aspect, the ophthalmic formulation of the present disclosure is in the form of a solution, such as one of the following:

Solution Composition a compound of the disclosure 0.1-5.0 g a solubility enhancing agent 1-20 g a buffering agent 0.05-5.0 g an tonicity agent 0.05-8 g a chelating agent 1-50 mg a preservative 0.01-0.1 mg water 100 ml

Solution Composition a compound of the disclosure 0.8-3.0 g a solubility enhancing agent 5-10 g a buffering agent 0.5-5.0 g an tonicity agent 0.2-4 g a chelating agent 2-5 mg a preservative 0.02-0.05 mg water 100 ml

Solution Composition I II III IV a compound of the 2.5 g 2.0 g 1.5 g 1.0 g disclosure a solubility enhancing 10 g 10 g 10 g 5 g agent buffering agent 1 1.05 g 1.05 g 1.05 g 1.05 g buffering agent 2 0.285 g 0.285 g 0.285 g 0.285 g an tonicity agent 0.25 g 0.25 g 0.25 g 0.25 g a chelating agent 2.5 mg 2.5 mg 2.5 mg 2.5 mg a preservative 0.03 mg 0.03 mg 0.03 mg 0.03 mg water 100 ml 100 ml 100 ml 100 ml

The ophthalmic formulation of the present disclosure may also be in the form of a gel or a semi-gel, or both; a jelly; a suspension; an emulsion; an oil; an ointment; a cream; or a spray.

The ophthalmic gel, semi-gel, jelly, suspension, emulsion, oil, ointment, cream, or spray may contain various additives incorporated ordinarily, such as buffering agents (e.g., phosphate buffers, borate buffers, citrate buffers, tartrate buffers, acetate buffers, amino acids, sodium acetate, sodium citrate and the like), tonicity agents (e.g., saccharides such as sorbitol, glucose and mannitol, polyhydric alcohols such as glycerin, concentrated glycerin, PEG and propylene glycol, salts such as sodium chloride), preservatives or antiseptics (e.g., benzalkonium chloride, benzalkonium chloride, P-oxybenzoates such as methyl p-oxybenzoate or ethyl p-oxybenzoate, benzyl alcohol, phenethyl alcohol, sorbic acid or its salt, thimerosal, chlorobutanol and the like), solubilizing enhancing agents (e.g., cyclodextrins and their derivative, water-soluble polymers such as polyvinyl pyrrolidone, surfactants such as tyloxapol, polysorbates), pH modifiers (e.g., hydrochloric acid, acetic acid, phosphoric acid, sodium hydroxide, potassium hydroxide, ammonium hydroxide and the like), thickening agents (e.g., HEC, hydroxypropyl cellulose, methyl cellulose, HPMC, carboxymethyl cellulose and their salts), chelating agents (e.g., sodium edetate, sodium citrate, condensed sodium phosphate) and the like. Each of these additives may be in the amount or concentration similar to those described for the ophthalmic formulation in the form of a solution above.

Furthermore the compounds of the disclosure may be formulated for topical administration by incorporation into novel ophthalmic formulations including but not limited to: microemulsions, liposomes, niosomes, gels, hydrogel, nanoparticles, and nanosuspension.

1. Microemulsions

Microemulsions are dispersion of water and oil facilitated by a combination of surfactant and cosurfactant in a manner to reduce interfacial tension. These systems are usually characterized by higher thermodynamic stability, small droplet size (approximately 100 nm) and clear appearance. Their transparent appearance is due to the high level of dispersion of the internal phase, and the size of it ranges from 100-1000 angstroms. Processes for forming microemulsions suitable for use in ophthalmic formulations are described in Vandamne, T. F. Prog Retinal Eye Res 2002; 21:15-34, which is incorporated by reference.

2. Liposomes

Liposomes are lipid vesicles containing aqueous core and have been widely exploited in ocular delivery for various drug substances. Depending on the nature of the lipid composition selected, liposomes can provide extended release of the drug.

3. Niosomes

Niosomes are bilayered structural vesicles made up of nonionic surfactant and are capable of encapsulating both lipophilic and hydrophilic compounds. They can release the drug independent of pH and enhance ocular bioavailability. Niosomes are microscopic lamellar structures that are formed on the admixture of nonionic surfactant of the alkyl or dialkyl polyglycerol ether class and cholesterol with subsequent hydration in aqueous media. Structurally niosomes are similar to liposomes, in that they are also made up of a bilayer. However, the bilayer in the case of niosomes is made up of nonionic surface-active agents rather than phospholipids as in the case of liposomes. Niosomes may be unilamellar or multilamellar depending on the method used to prepare them. They are capable of entrapping hydrophilic and hydrophobic solutes. They possess great stability and lack many disadvantages associate with liposomes such as high cost and the variable purity of phospholipids. The properties of niosomes and process for preparing them are well known in the art, see e.g., Wagh, V. D. et al., J Pharm Res 2010; 3(7):1558-1563; Kaur, H. et al., Int Pharm Sci Rev Res 2012; 15(1):113-120, each of which is incorporated by reference.

4. Gels

Ophthalmic gels are composed of mucoadhesive polymers that provide localized delivery of an active ingredient to the eye. Such polymers have a property known as bioadhesion, meaning attachment of a drug carrier to a specific biological tissue. These polymers are able to extend the contact time of the drug with the biological tissues and thereby improve ocular bioavailability. The choice of the polymer plays a critical role in the release kinetics of the drug from the dosage form. Several bioadhesive polymers are available with varying degree of mucoadhesive performance. Some examples are carboxymethylcellulose, carbopol, polycarbophil, and sodium alginate. The use of gel formulations in ocular drug deliver has been reviewed in Ali, Y. et al., Adv Drug Deliv Rev 2006; 58: 1258-1268, which is incorporated by reference.

5. Hydrogels

Hydrogels are three-dimensional, hydrophilic, polymeric networks capable of taking in large amounts of water or biological fluids. Residence time can be significantly enhanced with a hydrogel formulation. The gelation can be obtained by changing temperature and pH. Poloxamers, the most widely used polymer, contains the hydrophobic part in the center surrounded by a hydrophilic part. Though they are widely employed to enhance the residence time. Recent perspectives in the use of hydrogels in ocular drug deliver are described by Gaudana, R., Jwala, J., Boddu, S. H. S., Mitra, A. K. Pharm Res. 2009; 26(5):1197-1216 which is incorporated by reference.

6. Nanoparticles

Nanoparticles are defined as particles with a diameter of less than 1 μm, comprising of various biodegradable or non biodegradable polymers, lipids, phospholipids or metals. They can be classified as nanospheres or nanocapsules depending upon whether the drug has been uniformly dispersed or coated within polymeric material. The uptake and distribution of nanoparticles is dependent on their size. The use of nanoparticles in ocular drug delivery has recently been reviewed by Hing et al., Int. J. Ophthalmol 2013; 6:390-396, which is incorporated by reference.

7. Nanosuspensions

Nanosuspensions are defined as sub-micron colloidal systems that consist of poorly water soluble drugs suspended in an appropriate dispersion medium stabilized by surfactants. Usually, nanosuspensions consist of colloidal carriers like polymeric resins which are inert in nature. Nanosuspensions enhance drug solubility and thus bioavailability. Unlike microemulsions, nanosuspensions are non-irritant. Charge on the surface of nanoparticles facilitates their adhesion to the cornea. The use of nanosuspensions in drug delivery is reviewed in Rabinow, Nature Rev Drug Disc 2004; 785-796, which is incorporated by reference.

The compounds of the present disclosure can also be administered in the form of a formulation suitable for ocular topical delivery. Detailed descriptions of formulation suitable for ocular topical delivery are described in Bartlett, J. D. and Jaanus, S. D., Clinical Ocular Pharmacology, 2008, Elsevier Health Sciences, which is incorporated by reference.

The compounds of the disclosure may also be coupled with soluble polymers as targetable drug carriers. Such polymers can include polyvinylpyrrolidone, pyran copolymer, polyhydroxypropylmethacrylamide-phenol, polyhydroxyethylaspartamide-phenol, and polyethyleneoxide-polylysine substituted with palmitoyl residues. Furthermore, the compounds of the disclosure may be coupled to a class of biodegradable polymers useful in achieving controlled release of a drug, for example, polylactic acid, polyglycolic acid, copolymers of polylactic and polyglycolic acid, polyepsilon caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydropyrans, polycyanoacrylates and crosslinked or amphipathic block copolymers of hydrogels.

The present disclosure also provides a pharmaceutical composition comprising a compound of the disclosure or a pharmaceutically acceptable salt or solvate thereof, and a pharmaceutically acceptable carrier or excipient, and further an active ingredient selected from the group consisting of a) an antagonist of integrin α5β1, b) a cytotoxic/antiproliferative agent, c) an inhibitor of epidermal-derived, fibroblast-derived, or platelet-derived growth factor, d) an inhibitor of VEGF, e) an inhibitor of Flk-1/KDR, Flt-1, Tck/Tie-2, or Tic-1, and f) an inhibitor of phosphoinositide 3-kinase, and a mixture thereof.

The present disclosure further provides a pharmaceutical composition comprising a compound of the disclosure or a pharmaceutically acceptable salt or solvate thereof, and a pharmaceutically acceptable carrier or excipient, and further an active ingredient selected from the group consisting of a) an antagonist of integrin α5β1, b) a cytotoxic/antiproliferative agent, c) an inhibitor of epidermal-derived, fibroblast-derived, or platelet-derived growth factors, d) an inhibitor of VEGF, and e) an inhibitor of phosphoinositide 3-kinase, and a mixture thereof.

Nonlimiting examples of antagonists of integrin α5β1 are (S)-2-((R)-2-((S)-2-((S)-2-((S)-1-acetylpyrrolidine-2-carboxamido)-3-(1H-imidazol-5-yl)propanamido)-3-hydroxypropanamido)-3-mercaptopropanamido)succinamide, and JSM6427, described in Stragies, R. et al., J. Med. Chem. 2007, 50:3786-3794, herein incorporated by reference.

Nonlimiting examples of cytotoxic/antiproliferative agents are taxol, vincristine, vinblastine, and doxorubicin.

Nonlimiting examples of inhibitors of epidermal-derived, fibroblast-derived, or platelet-derived growth factors are pazopanib, and sunitinib,

Nonlimiting examples of inhibitors of vascular endothelial derived growth factor (VEGF) are bevacizumab and ranibizumab,

Nonlimiting examples of inhibitors of phosphoinositide 3-kinase are indelalisib and 2-morpholin-4-yl-8-phenylchroman-4-one.

Methods of Use

“Fibrosis” refers to a condition involving the development of excessive fibrous connective tissue, e.g., scar tissue, in a tissue or organ. Such generation of scar tissue may occur in response to infection, inflammation, or injury of the organ due to a disease, trauma, chemical toxicity, and so on. Fibrosis may develop in a variety of different tissues and organs, including the liver, kidney, intestine, lung, heart, etc.

Fibrosis of organs or tissues is involved in various diseases or disorders, such as (1) renal diseases (e.g., tubulointerstitial nephritis), (2) respiratory diseases (e.g., interstitial pneumonia (pulmonary fibrosis)), (3) gastrointestinal diseases (e.g., hepatocirrhosis, chronic pancreatitis and scirrhous gastric cancer), (4) cardiovascular diseases (myocardial fibrosis), (5) bone and articular diseases (e.g., bone marrow fibrosis and rheumatoid arthritis), (6) skin diseases (e.g., post surgical scar, burn scar, keloid, hypertrophic scar and scleroderma), (7) obstetric diseases (e.g., hysteromyoma), (8) urologic diseases (prostatic hypertrophy), (9) other diseases (e.g., Alzheimer's disease, sclerosing peritonitis, type I diabetes and post surgical adhesion). Accordingly, the tissue fibrosis may be cardiac fibrosis, scleroderma, skeletal muscle fibrosis, hepatic fibrosis, kidney fibrosis, pulmonary fibrosis, intestinal fibrosis, or diabetic fibrosis. For example, a fibrosis may be ongenital hepatic fibrosis (CHF); renal tubulointerstitial fibrosis; pulmonary fibrosis associated with an autoimmune disorder (e.g. rheumatoid arthritis, lupus and sarcoidosis); interstitial fibrosis associated with diabetic cardiomyopathy; skeletal muscle fibrosis associated with muscular dystrophies (e.g., Becker muscular dystrophy and Duchenne muscular dystrophy), denervation atrophies, neuromuscular diseases (e.g., acute polyneuritis, poliomyelitis, Werdig/Hoffman disease, amyotrophic lateral sclerosis, progressive bulbar atrophy disease), Mediastinal fibrosis (soft tissue of the mediastinum), myelofibrosis (bone marrow), retroperitoneal fibrosis (soft tissue of the retroperitoneum), progressive massive fibrosis (lungs), nephrogenic systemic fibrosis (skin), Crohn's Disease (intestine), Keloid (skin), scleroderma/systemic sclerosis (skin, lungs), arthrofibrosis (knee, shoulder, other joints), Peyronie's disease (penis), dupuytren's contracture (hands or fingers), Some forms of adhesive capsulitis (shoulder).

“Hepatic fibrosis” or “fibrosis of the liver” is the excessive accumulation of extracellular matrix proteins including collagen that occurs in most types of chronic liver diseases. Advanced liver fibrosis results in cirrhosis, liver failure, and portal hypertension and often requires liver transplantation. Activated hepatic stellate cells, portal fibroblasts, and myofibroblasts of bone marrow origin have been identified as major collagen-producing cells in the injured liver. These cells are activated by fibrogenic cytokines such as TGF-β1, angiotensin II, and leptin. The main causes of liver fibrosis in industrialized countries include chronic alcohol abuse, nonalcoholic steatohepatitis (NASH), iron and copper overload, alcohol-induced liver injury, chronic infection of hepatitis C, B, and D, hemochromatosis, secondary biliary cirrhosis, NASH, and autoimmune hepatitis.

“Pulmonary fibrosis” or “fibrosis of the lung” is a respiratory disease in which scars are formed in the lung tissues, leading to serious breathing problems. The accumulation of excess fibrous connective tissue leads to thickening of the walls, and causes reduced oxygen supply in the blood. As a consequence patients suffer from perpetual shortness of breath. Pulmonary fibrosis may be a secondary effect of other diseases. Most of these are classified as interstitial lung diseases. Examples include autoimmune disorders, viral infections and bacterial infection like tuberculosis which may cause fibrotic changes in both lungs upper or lower lobes and other microscopic injuries to the lung. Idiopathic pulmonary fibrosis can also appear without any known cause. Diseases and conditions that may cause pulmonary fibrosis as a secondary effect include: inhalation of environmental and occupational pollutants, hypersensitivity pneumonitis, cigarette smoking, some typical connective tissue diseases (such as rheumatoid arthritis, SLE and scleroderma), other diseases that involve connective tissue (such as sarcoidosis and Wegener's granulomatosis), infections, and certain medications (e.g., amiodarone, bleomycin (pingyangmycin), busulfan, methotrexate, apomorphine, and nitrofurantoin).

“Cardiac fibrosis” or “fibrosis of the heart” may refer to an abnormal thickening of the heart valves due to inappropriate proliferation of cardiac fibroblasts, but more commonly refers to the proliferation of fibroblasts in the cardiac muscle. Fibrotic cardiac muscle is stiffer and less compliant and is seen in the progression to heart failure. Fibrocyte cells normally secrete collagen, and function to provide structural support for the heart. When over-activated this process causes thickening and fibrosis of the valve, with white tissue building up primarily on the tricuspid valve, but also occurring on the pulmonary valve. The thickening and loss of flexibility eventually may lead to valvular dysfunction and right-sided heart failure.

“Renal fibrosis” or “fibrosis of the kidney”, characterized by glomerulosclerosis and tubulointerstitial fibrosis, is the final common manifestation of a wide variety of chronic kidney diseases (CKD). Progressive CKD often results in widespread tissue scarring that leads to the complete destruction of kidney parenchyma and end-stage renal failure.

Cystic fibrosis (CF) is a genetic disorder that affects mostly the lungs but also the pancreas, liver, kidneys and intestine. Patients experience symptoms including difficulty breathing and coughing up sputum as a result of frequent lung infections. CF is an autosomal recessive disorder, caused by mutations in both copies of the gene for the protein cystic fibrosis transmembrane conductance regulator (CFTR). CFTR is involved in production of sweat, digestive fluids, and mucus.

A compound of any of the formulae described herein or selected from the individual compounds described herein modulates (e.g., inhibits the activity of, decreases the expression of, and/or increases the degradation of) a factor (e.g., collagen, TGF-β1) that is involved in the regulation of the fibrosis process. For example, a compound of formula I is capable of reducing collagen synthesis. In another example, a compound of formula I can decrease the production of fibrogenic cytokines (e.g., TGF-β1). In another example, a compound of formula I can reduce the accumulation of extracellular matrix protein. In yet another example, a compound of formula I can inhibit the proliferation of fibroblast cells.

In another example, a compound of any of the formulae described herein or selected from the individual compounds described herein may inhibit processes mediated by αv integrins. Inhibition and blockade of αvβ6 and/or αvβ8 result in a phenotype similar to all of the development effects of loss of TGF-β1 and TGF-β3, suggesting that these integrins are required for most or all important roles of these TGF-β isoforms in development of fibrosis. Antagonists of the integrins αvβ6 and/or αvβ8 are thus useful for treating and preventing fibrotic activity. For example, TGF-β activation by the αvβ6 integrin has been shown to play an important role in models of fibrosis in the lungs, biliary tract, and kidney (Henderson et al., Nat Med 19, 617 (2013)). The αvβ6 integrin has further been shown to be overexpressed in human kidney epithelium in membranous glomerulonephritis, diabetes mellitus, IgA nephropathy, Goodpasture's syndrome, and Alport syndrome renal epithelium (Am. Journal of Pathology, 2007). In one aspect, a compound of any of the formulae described herein or selected from the individual compounds described herein treats or prevents fibrosis by inhibiting αvβ6 and/or αvβ8.

Over expression of the αvβ6 integrin has also been shown to play a role in certain cancers, including but not limited to colorectal carcinomas, thyroid carcinomas, cervical squamous cell carcinomas, and certain breast carcinomas. Over expression of the αvβ8 integrin has been associated with a variety of Th17-drive autoimmune diseases, including psoriasis, multiple sclerosis, rheumatoid arthritis, and inflammatory bowel disease. A number of integrin receptors have also been shown to play a role in foot and mouth disease virus (FMDV).

Thus, in one aspect, the present disclosure provides a method of treating or preventing a fibrosis, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof or a therapeutically effective amount of a pharmaceutical composition of the disclosure. In one aspect, the disclosure provides treating a fibrosis. In one aspect, the disclosure provides preventing a fibrosis.

In another aspect, the present disclosure also provides the use of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof in the manufacture of a medicament for the treatment or prevention of a fibrosis in a subject. The present disclosure also provides the use of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof in treating or preventing a fibrosis in a subject.

In one aspect, the fibrosis is fibrosis of the liver, kidney, intestine, lung, or heart. In a further aspect, the fibrosis is involved in various diseases or disorders, such as (1) renal diseases (e.g., tubulointerstitial nephritis), (2) respiratory diseases (e.g., interstitial pneumonia (pulmonary fibrosis)), (3) gastrointestinal diseases (e.g., hepatocirrhosis, chronic pancreatitis and scirrhous gastric cancer), (4) cardiovascular diseases (myocardial fibrosis), (5) bone and articular diseases (e.g., bone marrow fibrosis and rheumatoid arthritis), (6) skin diseases (e.g., post surgical scar, burn scar, keloid, hypertrophic scar and scleroderma), (7) obstetric diseases (e.g., hysteromyoma), (8) urologic diseases (prostatic hypertrophy), (9) other diseases (e.g., Alzheimer's disease, sclerosing peritonitis, type I diabetes and post surgical adhesion).

Diabetic retinopathy, a closely related condition, is the result of microvascular retinal changes. Hyperglycemia-induced intramural pericyte death and thickening of the basement membrane lead to incompetence of the vascular walls in the retina, which affects the blood-retinal barrier and makes the retinal blood vessels more permeable. Damaged blood vessels leak fluid and lipids onto the macula, the part of the retina that provides us with detailed vision, causing the macula to swell. Eventually this can progress to develop a condition called macular edema.

Accordingly, AMD, DR, DME, and macular edema following central retinal vein occlusion (thrombosis) can be treated or prevented through administration (e.g., topical administration) of the compounds or pharmaceutical compositions of the present disclosure.

The present disclosure provides a method of treating or preventing a disease or condition in a subject, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of the disclosure or a pharmaceutically acceptable salt or solvate thereof or a therapeutically effective amount of a pharmaceutical composition of the disclosure. In one aspect, the disclosure provides treating a disease or condition. In one aspect, the disclosure provides preventing a disease or condition.

In one aspect, the compound or pharmaceutical composition of the disclosure is administered topically. In a further aspect, the compound or pharmaceutical composition of the disclosure is administered as an ophthalmic solution. In another aspect, the compound or pharmaceutical composition of the disclosure is administered as an ophthalmic emulsion, suspension, gel, or semi-gel. In another aspect, the compound or pharmaceutical composition of the disclosure is administered as an ophthalmic jelly, oil, ointment, cream, or spray.

The compounds or pharmaceutical compositions of the disclosure are administered in dosages effective to inhibit the function of αvβ3, αvβ5, αvβ6 and/or αvβ8 integrins and thus treat or prevent a disease condition mediated by the αvβ3, αvβ5, αvβ6 and/or αvβ8 integrin.

The present disclosure provides a method of treating or preventing a disease or condition mediated by an αv integrin in a subject, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof or a therapeutically effective amount of a pharmaceutical composition a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof. In one aspect, the disease or condition is a disease or condition in which angiogenesis is involved. In a further aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved.

The present disclosure also provides a method of treating or preventing an αvβ3, αvβ5, αvβ6 and/or αvβ8 integrin-mediated disease or condition in a subject, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof or a therapeutically effective amount of a pharmaceutical composition comprising a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof. In one aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved. In one aspect, the disease or condition is macular degeneration. In one aspect, the disease or condition is age-related macular degeneration (AMD). In one aspect, the disease or condition is diabetic retinopathy (DR). In one aspect, the disease or condition is diabetic macular edema (DME). In one aspect, the disease or condition is macular edema following retinal vein occlusion (RVO). In one aspect, the condition is fibrosis of the liver, kidney, intestine, lung, and heart. In one aspect, the disease is a renal disease, a respiratory disease, a gastrointestinal disease, a cardiovascular disease, a bone and articular disease, a skin disease, an obstetric disease, or a urologic disease.

The present disclosure also provides a method of treating or preventing an αvβ3 and/or αvβ5 integrin-mediated disease or condition in a subject, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof or a therapeutically effective amount of a pharmaceutical composition a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof. In one aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved. In one aspect, the disease or condition is macular degeneration. In one aspect, the disease or condition is age-related macular degeneration (AMD). In one aspect, the disease or condition is diabetic retinopathy (DR). In one aspect, the disease or condition is diabetic macular edema (DME). In one aspect, the disease or condition is macular edema following retinal vein occlusion (RVO).

The present disclosure provides the use of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof in the manufacture of a medicament for the treatment or prevention of a disease or condition in a subject. The present disclosure provides the use of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof in treating or preventing a disease or condition in a subject.

The present disclosure provides the use of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof in the manufacture of a medicament for the treatment or prevention of a disease or condition mediated by an αv integrin in a subject. The present disclosure provides the use of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof in treating or preventing a disease or condition mediated by an αv integrin in a subject. In one aspect, the disease or condition is a disease or condition in which angiogenesis is involved. In a further aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved.

The present disclosure also provides the use of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof in the manufacture of a medicament for the treatment or prevention of an αvβ3, αvβ5, αvβ6 and/or αvβ8 integrin-mediated disease or condition in a subject. The present disclosure provides the use of a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof in treating or preventing of an αvβ3, αvβ5, αvβ6 and/or αvβ8 integrin-mediated disease or condition in a subject. In one aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved. In one aspect, the disease or condition is macular degeneration. In one aspect, the disease or condition is age-related macular degeneration (AMD). In one aspect, the disease or condition is diabetic retinopathy (DR). In one aspect, the disease or condition is diabetic macular edema (DME). In one aspect, the disease or condition is macular edema following retinal vein occlusion (RVO). In one aspect, the condition is fibrosis of the liver, kidney, intestine, lung, and heart. In one aspect, the disease is a renal disease, a respiratory disease, a gastrointestinal disease, a cardiovascular disease, a bone and articular disease, a skin disease, an obstetric disease, or a urologic disease.

The present disclosure provides a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof for use in treating or preventing of a disease or condition in a subject.

The present disclosure provides a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof for use in treating or preventing of a disease or condition mediated by an αv integrin in a subject. In one aspect, the disease or condition is a disease or condition in which angiogenesis is involved. In a further aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved.

The present disclosure also provides a compound of any of the formulae described herein or selected from the individual compounds described herein, or a pharmaceutically acceptable salt or solvate thereof for use in treating or preventing of an αvβ3, αvβ5, αvβ6 and/or αvβ8 integrin-mediated disease or condition in a subject. In one aspect, the disease or condition is a disease or condition in which ocular angiogenesis is involved. In one aspect, the disease or condition is macular degeneration. In one aspect, the disease or condition is age-related macular degeneration (AMID). In one aspect, the disease or condition is diabetic retinopathy (DR). In one aspect, the disease or condition is diabetic macular edema (DME). In one aspect, the disease or condition is macular edema following retinal vein occlusion (RVO). In one aspect, the condition is fibrosis of the liver, kidney, intestine, lung, and heart. In one aspect, the disease is a renal disease, a respiratory disease, a gastrointestinal disease, a cardiovascular disease, a bone and articular disease, a skin disease, an obstetric disease, or a urologic disease.

Administration of the second therapy in combination typically is carried out over a defined time period (usually minutes, hours, days or weeks depending upon the combination selected). “Combination therapy” may be, but generally is not, intended to encompass the administration of two or more of these therapeutic agents as part of separate monotherapy regimens that incidentally and arbitrarily result in the combinations of the present disclosure. “Combination therapy” is intended to embrace administration of these therapeutic agents in a sequential manner, wherein each therapeutic agent is administered at a different time, as well as administration of these therapeutic agents, or at least two of the therapeutic agents, in a substantially simultaneous manner.

In accordance with the method of the disclosure, the individual components of the combination can be administered separately at different times during the course of therapy or concurrently in divided or single combination forms. The instant disclosure is therefore to be understood as embracing all such regimens of simultaneous or alternating treatment, and the term “administering” is to be interpreted accordingly. It will be understood that the scope of combinations of the compounds of the disclosure with other agents useful for treating αv integrin-mediated conditions includes in principle any combination with any pharmaceutical composition useful for treating fibrosis, macular degeneration, DR, DME, or macular edema following RVO.

The dosage regimen utilizing the compounds of the disclosure is selected in accordance with a variety of factors including type, species, age, weight, sex and medical condition of the patient; the severity of the condition to be treated; and the particular compound or salt thereof employed. An ordinary skilled physician, veterinarian or clinician can readily determine and prescribe the effective amount of the drug required to prevent, counter or arrest the progress of the condition.

In the methods of the disclosure, the compounds herein described in detail can form the active ingredient, and are typically administered in admixture with suitable pharmaceutical diluents, excipients or carriers (collectively referred to herein as “carrier”) suitably selected with respect to the intended topical administration to the eye and consistent with conventional pharmaceutical practices.

For purposes of the disclosure, the following definitions will be used (unless expressly stated otherwise):

“A compound of the disclosure”, “compounds of the disclosure”, “a compound of the present disclosure”, or “compounds of the present disclosure” refers to a compound(s) disclosed herein, e.g., a compound(s) of the disclosure includes a compound(s) of any of the formulae described herein including formula I, II, IIIa, IIIb, IVa, and IVb, and/or a compound(s) explicitly disclosed herein. Whenever the term is used in the context of the disclosure it is to be understood that the reference is being made to the free base and the corresponding pharmaceutically acceptable salts or solvates thereof, provided that such is possible and/or appropriate under the circumstances.

“Pharmaceutical” or “pharmaceutically acceptable” when used herein as an adjective, means substantially non-toxic and substantially non-deleterious to the recipient.

By “pharmaceutical composition” it is further meant that the carrier, diluent, solvent, excipient, and salt must be compatible with the active ingredient of the formulation (e.g., a compound of the disclosure). It is understood by those of ordinary skill in this art that the terms “pharmaceutical formulation” and “pharmaceutical composition” are generally interchangeable, and they are so used for the purposes of this application.

“Solution” refers to a clear, homogeneous liquid dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents. Because molecules of a therapeutic agent substance in solution are uniformly dispersed, the use of solutions as dosage forms generally provides assurance of uniform dosage upon administration and good accuracy when the solution is diluted or otherwise mixed. “Solution” as disclosed herein contemplates any variations based on the current state of the art or variations achieved by one skilled in the art.

“Suspension” refers to a liquid dosage form that contains solid particles dispersed in a liquid vehicle. “Suspension” as disclosed herein contemplates any variations based on the current state of the art or variations achieved by one skilled in the art.

“Excipient” is used herein to include any other compound that is not a therapeutically or biologically active compound and may be contained in or combined with one or more of the compounds of the present disclosure. As such, an excipient should be pharmaceutically or biologically acceptable or relevant (for example, an excipient should generally be non-toxic to the subject). “Excipient” includes a single such compound and is also intended to include a plurality of excipients. For the purposes of the present disclosure the term “excipient” and “carrier” are used interchangeably throughout the description of the present application.

“Therapeutically effective amount” refers to that amount of a drug or pharmaceutical agent that will elicit the biological or medical response of a tissue, system, animal, or human that is being sought by a researcher or clinician.

“Treat,” “treating,” or “treatment” refers to decreasing the symptoms, markers, and/or any negative effects of a disease or condition in any appreciable degree in a subject who currently has the disease or condition. In some embodiments, treatment may be administered to a subject who exhibits only early signs of a disease or condition for the purpose of decreasing the risk of developing the disease or condition. In some embodiments, “Treat,” “treating,” or “treatment” refers to amelioration of one or more symptoms of a disease or condition. For example, amelioration of one or more symptoms of a disease or condition includes a decrease in the severity, frequency, and/or length of one or more symptoms of a disease or condition.

“Prevent,” “prevention,” or “preventing” refers to any method to partially or completely prevent or delay the onset of one or more symptoms or features of a disease or condition. Prevention may be administered to a subject who does not exhibit any sign of a disease or condition.

“Subject” means a human or animal (in the case of an animal, more typically a mammal). In one aspect, the subject is a human.

The term “symptom” is defined as an indication of disease, illness, injury, or that something is not right in the body. Symptoms are felt or noticed by the individual experiencing the symptom, but may not easily be noticed by others. Others are defined as non-health-care professionals.

“αv integrin antagonist” refers to a compound which binds to and inhibits or interferes with the function of one or more of αvβ3, αvβ5, αvβ6, and αvβ8, a compound which binds to and inhibits or interferes with the function of both αvβ3 and αvβ5 (i.e., a dual αvβ3/αvβ5 antagonist), or a compound which binds to and inhibits or interferes with the function of both αvβ6 and αvβ8 (i.e., a dual αvβ6/αvβ8 antagonist). The compounds bind to the receptors as antagonists, blocking or interfering with the binding of the native agonist, such as vitronectin, while not provoking a biological response themselves.

“Bone resorption” refers to the process by which osteoclasts degrade bone.

“Alkyl” refers to straight chain or branched alkyl of the number of carbon atoms specified (e.g., C₁-C₄ alkyl), or any number within this range (methyl, ethyl, propyl, i-propyl, butyl, i-butyl, t-butyl, etc.).

“Alkoxy” refers to straight chain or branched alkoxides of the number of carbon atoms specified (e.g., C₁-C₄ alkoxy), or any number within this range (methoxy, ethoxy, propoxy, i-propoxy, butoxy, i-butoxy, t-butoxy, etc.).

“Carbocyclic ring” refers to saturated cycloalkyl of the number of carbon atoms specified (i.e., C₃ or C₄), such as cyclopropyl and cyclobutyl.

The term “heterocyclyl,” or “heterocycloalkyl,” as used herein, refers to a non-aromatic 3-, 4-, 5-, 6- or 7-membered ring or a bi- or tri-cyclic group fused of non-fused system, where (i) each ring contains between one and three heteroatoms independently selected from oxygen, sulfur and nitrogen, (ii) each 5-membered ring has 0 to 1 double bonds and each 6-membered ring has 0 to 2 double bonds, (iii) the nitrogen and sulfur heteroatoms may optionally be oxidized, and (iv) the nitrogen heteroatom may optionally be quaternized. Representative heterocycloalkyl groups include, but are not limited to, [1,3]dioxolane, pyrrolidinyl, pyrazolinyl, pyrazolidinyl, imidazolinyl, imidazolidinyl, benzimidazolyl, piperidinyl, piperazinyl, oxazolidinyl, isoxazolidinyl, morpholinyl, thiazolidinyl, isothiazolidinyl, and tetrahydrofuryl.

The term “about” refers to a range of values which can be 15%, 10%, 8%, 5%, 3%, 2%, 1%, or 0.5% more or less than the specified value. For example, “about 10%” can be from 8.5% to 11.5%. In one embodiment, the term “about” refers to a range of values which are 5% more or less than the specified value. In another embodiment, the term “about” refers to a range of values which are 2% more or less than the specified value. In another embodiment, the term “about” refers to a range of values which are 1% more or less than the specified value.

EXAMPLES

Abbreviations used in the following examples and elsewhere herein are:

AcOH acetic acid

DCM dichloromethane

equiv equivalent(s)

EtCO₂H propionic acid

EtOAc ethyl acetate

EtOH ethanol

Et₃N triethyl amine

hr hour(s)

iPrMgCl isopropyl magnesium chloride

LCMS liquid chromatography-mass spectrometry

ACN acetonitrile

n-BuLi n-butyl lithium

Pd(OAc)₂ palladium (II) acetate

P(o-tol)₃ tri(O-tolyl)phosphine

RT retention time

t-BuLi tert-butyl lithium

t-BuOK potassium tert-butoxide

TFA trifluoroacetic acid

THF tetrahydrofuran

Example 1: 3-(3-(4-((1H-benzo[d]imidazol-2-yl)amino)butyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A1) Step 1: N′-(1H-benzo[d]imidazol-2-yl)butane-1,4-diamine

To 2-chloro-1H-benzimidazole (1.53 g, 10.0 mmol, 1.00 equiv) in pyridine (1.0 mL) at 23° C. was added butane-1,4-diamine (4.45 g, 50.0 mmol, 5.0 equiv). After stirring for 17 hr at 130° C., the reaction mixture was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 1.35 g of the title compound (66% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CD₃OD, δ): 7.20-7.12 (m, 2H), 7.00-6.92 (m, 2H), 3.36 (t, J=6.9 Hz, 2H), 2.69 (t, J=6.9 Hz, 2H), 1.74-1.52 (m, 4H).

Step 2: tert-butyl 3-(3-(4-((1H-benzo[d]imidazol-2-yl)amino)butyl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate

To triphosgene (237 mg, 0.8 mmol, 0.4 equiv) in THF (5 mL) at 0° C. under an atmosphere of nitrogen was added a solution of (S)-tert-butyl 3-((2,2-dimethoxyethyl)amino)-3-(3-(trifluoromethyl) phenyl)propanoate (755 mg, 2. mmol, 1.0 equiv) and triethylamine (0.84 mL, 6.0 mmol, 3.0 equiv) in THF (5 mL). After stirring for 30 min at 23° C., N¹-(1H-benzo[d]imidazol-2-yl)butane-1,4-diamine (613 mg, 3.0 mmol, 1.5 equiv) was added and the resulting mixture was stirred for 3 hr at 40° C. EtOAc (30 mL) and H₂O (20 mL) were then added and the phases were separated. The aqueous phase was extracted with EtOAc (3×20 mL) and the combined organic phases were washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo to afford a crude urea, which was used in the next step without further purification.

To the above-obtained crude urea in THF (5 mL) was added 2M H₂SO₄ (aq) (5 mL). After stirring for 12 hr at 23° C., K₂CO₃ (aq) (10 mL) was added and the resulting phases were separated. The aqueous phase was extracted with EtOAc (3×15 mL) and the combined organic phases were washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo and the residue was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 544 mg of the title compound (50% yield).

NMR Spectroscopy: ¹H NMR (300 MHz, CD₃OD, δ): 7.63-7.42 (m, 4H), 7.20-7.12 (m, 2H), 7.00-6.92 (m, 2H), 6.72 (d, J=3.0 Hz, 1H), 6.56 (d, J=3.0 Hz, 1H), 5.69 (dd, J=8.1 Hz, 7.8 Hz, 1H), 3.74-3.64 (m, 2H), 3.40-3.36 (m, 2H), 3.14 (d, J=8.1 Hz, 2H), 1.74-1.52 (m, 4H), 1.30 (s, 9H). ¹⁹F NMR (282 MHz, CD₃OD, δ): −62.6 (s, 3F).

Step 3: 3-(3-(4-((1H-benzo[d]imidazol-2-yl)amino)butyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A1)

To tert-butyl 3-(3-(4-((1H-benzo[d]imidazol-2-yl)amino)butyl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate (544 mg, 1.0 mmol, 1.0 equiv) in MeOH (10 mL) at 23° C. was added 20% Pd(OH)₂/C (140 mg, 0.2 mmol, 0.2 equiv) and H₂ was introduced with a balloon. After stirring for 18 hr at 60° C., the reaction mixture was concentrated in vacuo to afford the crude product, which was used in the next step without further purification.

To the crude product obtained above in CH₂Cl₂ (3 mL) at 23° C. was added TFA (3 mL). After stirring for 1 hr at 23° C., the reaction mixture was concentrated in vacuo and EtOAc (10 mL) and K₂CO₃ (aq) (10 mL) were then added to the resulting residue. The phases were separated and the aqueous phase was extracted with EtOAc (3×10 mL). The combined organic phases were washed with brine (10 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo and the residue was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 260 mg of the title compound (54% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CD₃OD, δ): 7.61-7.42 (m, 4H), 7.37-7.30 (m, 2H), 7.23-7.17 (m, 2H), 5.59 (dd, J=8.1 Hz, 7.8 Hz, 1H), 3.59-3.20 (m, 7H), 3.09-2.80 (m, 3H), 1.79-1.59 (m, 4H). ¹⁹F NMR (282 MHz, CD₃OD, δ): −62.5 (s, 3F).

Example 2: 3-(3-(4-((4,5-dihydrooxazol-2-yl)amino)butyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A2) Step 1: tert-butyl 3-(3-(4-(((benzyloxy)carbonyl)amino)butyl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate

To triphosgene (119 mg, 0.400 mmol, 0.400 equiv) in THF (5 mL) under at atmosphere of nitrogen and at 0° C. was added a solution of (S)-tert-butyl 3-((2,2-dimethoxyethyl)amino)-3-(3-(trifluoromethyl)phenyl)propanoate (377 mg, 1.0 mmol, 1.0 equiv) and triethylamine (0.56 mL, 4.0 mmol, 4.0 equiv) in THF (3 mL). After stirring for 30 min at 23° C., N-Cbz-1,4-butanediamine hydrochloride (517 mg, 2.0 mmol, 2.0 equiv) was added and the resulting mixture was stirred for 3 hr at 40° C. EtOAc (30 mL) and H₂O (10 mL) were then added to the reaction mixture and the phases were separated. The aqueous phase was extracted with EtOAc (3×10 mL) and the combined organic phases were washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo to afford a crude urea, which was used in the next step without further purification.

To the above-obtained crude urea in THF (2 mL) was added 2M H₂SO₄ (aq) (2 mL). After stirring for 12 hr at 23° C., K₂CO₃ (aq) (5 mL) was added. The phases were separated and the aqueous phase was extracted with EtOAc (3×5 mL). The combined organic phases were washed with brine (10 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo and the residue was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 410 mg of the title compound (73% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CDCl₃, δ): 7.58-7.40 (m, 4H), 7.38-7.27 (m, 5H), 6.23 (d, J=2.7 Hz, 1H), 6.19 (d, J=2.7 Hz, 1H), 5.70 (dd, J=7.8 Hz, 7.8 Hz, 1H), 5.08 (s, 2H), 3.68-3.51 (m, 2H), 3.28-3.15 (m, 2H), 3.10-3.00 (m, 2H), 1.71-1.47 (m, 4H), 1.38 (s, 9H). ¹⁹F NMR (282 MHz, CDCl₃, δ): −62.6 (s, 3F).

Step 2: tert-butyl 3-(3-(4-aminobutyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl) propanoate

To tert-butyl 3-(3-(4-(((benzyloxy)carbonyl)amino)butyl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate (380 mg, 0.677 mmol, 1.0 equiv) in MeOH (7 mL) at 23° C. was added 20% Pd(OH)₂/C (95 mg, 0.14 mmol, 0.2 equiv) and H₂ was introduced with a balloon. After stirring for 18 hr at 60° C., the reaction mixture was concentrated in vacuo to afford 200 mg of the title compound (69% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CD₃OD, δ): 7.63-7.50 (m, 4H), 5.46 (dd, J=7.8 Hz, 7.8 Hz, 1H), 3.51-2.67 (m, 10H), 1.61-1.40 (m, 4H), 1.38 (s, 9H). ¹⁹F NMR (282 MHz, CD₃OD, δ): −62.6 (s, 3F).

Step 3: tert-butyl 3-(3-(4-(3-(2-chloroethyl)ureido)butyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate

To tert-butyl 3-(3-(4-aminobutyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl) propanoate (373 mg, 0.869 mmol, 1.0 equiv) in THF (1 mL) under an atmosphere of nitrogen and at 23° C. was added 2-chloroethyl isocyanate (105 mg, 1.0 mmol, 1.15 equiv). After stirring for 15 min at 23° C., the reaction mixture was concentrated in vacuo and the residue was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 410 mg of the title compound (88% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CDCl₃, δ): 7.60-7.43 (m, 4H), 5.51 (dd, J=7.8 Hz, 7.8 Hz, 1H), 3.64-3.48 (m, 4H), 3.41-2.67 (m, 10H), 1.61-1.42 (m, 4H), 1.38 (s, 9H). ¹⁹F NMR (282 MHz, CDCl₃, δ): −62.6 (s, 3F).

Step 4: 3-(3-(4-((4,5-dihydrooxazol-2-yl)amino)butyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl) phenyl)propanoic Acid (Compound A2)

To tert-butyl 3-(3-(4-(3-(2-chloroethyl)ureido)butyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate (400 mg, 0.748 mmol, 1.0 equiv) under an atmosphere of are and at 23° C. was added H₂O (7.5 mL). After stirring for 1 hr at 100° C., the reaction mixture was cooled to 23° C. and 1N HCl (aq) (1.0 mL) was added. After stirring for 10 min at 23° C., EtOAc (10 mL) and K₂CO₃ (aq) (5 mL) were added to the reaction mixture and the phases were separated. The aqueous phase was extracted with EtOAc (3×10 mL) and the combined organic phases were washed with brine (10 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo and the residue was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 230 mg of the title compound (70% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CD₃OD, δ): 7.63-7.49 (m, 4H), 5.51 (dd, J=7.8 Hz, 7.8 Hz, 1H), 4.79 (t, J=8.1 Hz, 2H), 3.99-3.80 (m, 2H), 3.61-2.91 (m, 10H), 1.63-1.42 (m, 4H). ¹⁹F NMR (282 MHz, CD₃OD, δ): −62.6 (s, 3F).

Example 3: 3-(2-oxo-3-(3-(5,6,7,8-tetrahydroimidazo[1,2-a]pyrimidin-2-yl)propyl) imidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A3) Step 1: 2-(diethoxymethyl)imidazo[1,2-a]pyrimidine

To 2-aminopyrimidine (4.76 g, 50.0 mmol, 1.00 equiv) in EtOH (50 mL) at 23° C. was added 3-bromo-1,1-dimethoxypropan-2-one (U.S. Pat. No. 9,163,017 B2, Peat, A. J., et al (2015)) (13.8 g, 70 mmol, 1.4 equiv). After stirring for 2 hr at 90° C., the reaction mixture was concentrated in vacuo and EtOAc (50 mL) and K₂CO₃ (aq) (50 mL) were then added to the resulting residue. The phases were separated and the aqueous phase was extracted with EtOAc (3×50 mL). The combined organic phases were washed with brine (50 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo and the residue was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 3.1 g of the title compound (28% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CDCl₃, δ): 8.54 (dd, J=4.5 Hz, 2.1 Hz, 1H), 8.44 (d, J=6.6 Hz, 1H), 7.65 (s, 1H), 6.87 (dd, J=6.3 Hz, 3.6 Hz, 1H), 5.76 (s, 1H), 3.81-3.60 (m, 4H), 1.26 (t, J=7.2 Hz, 6H).

Step 2: 5,6,7,8-tetrahydroimidazo[1,2-a]pyrimidine-2-carbaldehyde

To 2-(diethoxymethyl)imidazo[1,2-a]pyrimidine (3.1 g, 14 mmol, 1.0 equiv) in MeOH (70 mL) at 23° C. was added Pt₂O (636 mg, 2.8 mmol, 0.2 equiv) and H₂ was introduced with a balloon. After stirring for 7 hr at 60° C., the reaction mixture was concentrated in vacuo to afford crude product, which was used in the next step without further purification.

To the crude product obtained above at 23° C. was added 1N HCl (aq) (50 mL). After stirring for 1 hr at 23° C., EtOAc (50 mL) and NaHCO₃ were then added to the reaction mixture. The phases were separated and the aqueous phase was extracted with EtOAc (3×50 mL). The combined organic phases were washed with brine (50 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo and the residue was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 700 mg of the title compound (33% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CDCl₃, δ): 9.58 (s, 1H), 7.38 (s, 1H), 4.07 (t, J=6.0 Hz, 2H), 3.54 (t, J=5.7 Hz, 2H), 2.24-2.17 (m, 2H).

Step 3: (E)-3-(5,6,7,8-tetrahydroimidazo[1,2-a]pyrimidin-2-yl)acrylonitrile

To 5,6,7,8-tetrahydroimidazo[1,2-c]pyrimidine-2-carbaldehyde (680 mg, 4.5 mmol, 1.0 equiv) in THF (10 mL) at 23° C. were added diethyl cyanomethylphosphonate (797 mg, 4.5 mmol, 1.0 equiv) and 50% wt NaOH aq (360 mg, 4.5 mmol, 1.0 equiv). After stirring for 1 hr at 23° C., EtOAc (20 mL) and H₂O (20 mL) were added to the reaction mixture. The phases were separated and the aqueous phase was extracted with EtOAc (3×20 mL). The combined organic phases were washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo and the residue was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 700 mg of the title compound (89% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CD₃OD, δ): 7.15 (d, J=16.2 Hz, 1H), 6.92 (s, 1H), 5.66 (d, J=16.2 Hz, 1H), 3.92 (t, J=6.0 Hz, 2H), 3.35 (t, J=5.7 Hz, 2H), 2.10-2.00 (m, 2H).

Step 4: 3-(5,6,7,8-tetrahydroimidazo[1,2-a]pyrimidin-2-yl)propan-1-amine

To (E)-3-(5,6,7,8-tetrahydroimidazo[1,2-c]pyrimidin-2-yl)acrylonitrile (700 mg, 4.02 mmol, 1.00 equiv) in 14M NH₄OH (aq) (4 mL) at 23° C. was added a slurry of Raney-Ni in H₂O until complete conversion to product was observed by LCMS. The reaction mixture was filtered through a pad of celite and the filtrate was concentrated in vacuo. The residue was dissolved in MeOH and filtered through a pad of celite again and the filtrate was concentrated in vacuo to afford 150 mg of the title compound (21% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CD₃OD, δ): 6.25 (s, 1H), 3.80 (t, J=6.0 Hz, 2H), 3.28 (t, J=5.7 Hz, 2H), 2.62 (t, J=6.9 Hz, 2H), 2.38 (t, J=7.5 Hz, 2H), 2.07-1.96 (m, 2H), 1.75-1.65 (m, 2H).

Step 5: tert-butyl 3-(2-oxo-3-(3-(5,6,7,8-tetrahydroimidazo[1,2-a]pyrimidin-2-yl)propyl)-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate

To triphosgene (111 mg, 0.375 mmol, 0.450 equiv) in THF (1 mL) under an atmosphere of nitrogen and at 0° C. was added a solution of (S)-tert-butyl 3-((2,2-dimethoxyethyl)amino)-3-(3-(trifluoromethyl)phenyl)propanoate (314 mg, 0.832 mmol, 1.0 equiv) and triethylamine (0.35 mL, 2.5 mmol, 3.0 equiv) in THF (1 mL). After stirring for 30 min at 23° C., 3-(5,6,7,8-tetrahydroimidazo[1,2-c]pyrimidin-2-yl)propan-1-amine (150 mg, 0.832 mmol, 1.0 equiv) was added and the resulting mixture was stirred for 3 hr at 40° C. EtOAc (3 mL) and H₂O (2 mL) were added to the reaction mixture, the phases were separated, and the aqueous phase was extracted with EtOAc (3×2 mL). The combined organic phases were washed with brine (2 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo to afford a crude urea, which was used in the next step without further purification.

To the above-obtained crude urea in THF (2 mL) under an atmosphere of nitrogen was added 2M H₂SO₄ (aq) (2 mL). After stirring for 12 hr at 23° C., K₂CO₃ (aq) (3 mL) was added, the phases were separated, and the aqueous phase was extracted with EtOAc (3×3 mL). The combined organic phases were washed with brine (2 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo and the residue was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 84.0 mg of the title compound (19% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CD₃OD, δ): 7.61-7.42 (m, 4H), 6.68 (d, J=3.0 Hz, 1H), 6.50 (d, J=3.0 Hz, 1H), 6.48 (s, 1H), 5.60 (dd, J=8.1 Hz, 7.8 Hz, 1H), 3.86-3.74 (m, 2H), 3.70-3.30 (m, 4H), 3.13-3.05 (m, 2H), 2.40-2.30 (m, 2H), 2.10-1.75 (m, 4H), 1.30 (s, 9H). ¹⁹F NMR (282 MHz, CD₃OD, δ): −62.4 (s, 3F).

Step 6: 3-(2-oxo-3-(3-(5,6,7,8-tetrahydroimidazo[1,2-a]pyrimidin-2-yl)propyl)imidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A3)

To tert-butyl 3-(2-oxo-3-(3-(5,6,7,8-tetrahydroimidazo[1,2-c]pyrimidin-2-yl)propyl)-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate (84 mg, 0.16 mmol, 1.0 equiv) in MeOH (1 mL) at 23° C. was added 20% Pd(OH)₂/C (23 mg, 0.032 mmol, 0.2 equiv) and H₂ was introduced with a balloon. After stirring for 18 hr at 60° C., the reaction mixture was concentrated in vacuo to afford the crude product, which was used in the next step without further purification.

To the crude product obtained above in CH₂Cl₂ (1 mL) at 23° C. was added TFA (1 mL). After stirring for 1 hr at 23° C., the reaction mixture was concentrated in vacuo and EtOAc (1 mL) and K₂CO₃ (aq) (1 mL) were then added to the resulting residue. The phases were separated and the aqueous phase was extracted with EtOAc (3×1 mL). The combined organic phases were washed with brine (1 mL), dried with MgSO₄, and filtered. The filtrate was concentrated in vacuo and the residue was purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford 20 mg of the title compound (27% yield). NMR Spectroscopy: ¹H NMR (300 MHz, CD₃OD, δ): 7.64-7.50 (m, 4H), 6.58 (s, 1H), 5.52 (dd, J=8.1 Hz, 7.8 Hz, 1H), 3.90 (t, J=6.0 Hz, 2H), 3.60-2.90 (m, 10H), 2.52-2.40 (m, 2H), 2.10-1.75 (m, 4H). ¹⁹F NMR (282 MHz, CD₃OD, δ): −62.4 (s, 3F).

Example 4: 3-(3-(3-(2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-6-yl)propyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A4) Step 1: (E)-3-(1H-pyrrolo[2,3-b]pyridin-6-yl)acrylonitrile

1H-pyrrolo[2,3-b]pyridine-6-carbaldehyde (658 mg, 4.5 mmol, 1.0 equiv) in THF (10 mL) at 23° C. are added diethyl cyanomethylphosphonate (797 mg, 4.5 mmol, 1.00 equiv) and 50% wt NaOH aq (360 mg, 4.5 mmol, 1.0 equiv). After stirring for 1 hr at 23° C., EtOAc (20 mL) and H₂O (20 mL) are added to the reaction mixture. The phases are separated and the aqueous phase is extracted with EtOAc (3×20 mL). The combined organic phases are washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo and the residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Step 2: 3-(2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-6-yl)propanenitrile

To (E)-3-(1H-pyrrolo[2,3-b]pyridin-6-yl)acrylonitrile (2.37 g, 14.0 mmol, 1.0 equiv) in MeOH (70 mL) at 23° C. is added Pt₂O (636 mg, 2.8 mmol, 0.2 equiv) and H₂ is introduced with a balloon. After stirring for 7 hr at 60° C., the reaction mixture is filtered through a pad of celite and the filtrate is concentrated in vacuo and the resulting residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Step 3: 3-(2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-6-yl)propan-1-amine

To 3-(2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-6-yl)propanenitrile (696 mg, 4.02 mmol, 1.0 equiv) in 14M NH₄OH (aq) (4 mL) at 23° C. is added a slurry of Raney-Ni in H₂O until complete conversion to the product is observed by LCMS. The reaction mixture is then filtered through a pad of celite and the filtrate is concentrated in vacuo. The resulting residue is dissolved in MeOH, filtered through a pad of celite, and the filtrate is concentrated in vacuo to afford the title compound.

Step 4: tert-butyl 3-(3-(3-(2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-6-yl)propyl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate

To triphosgene (629 mg, 2.12 mmol, 0.4 equiv) in THF (10 mL) under an atmosphere of nitrogen and at 0° C. is added a solution of (S)-tert-butyl 3-((2,2-dimethoxyethyl)amino)-3-(3-(trifluoromethyl)phenyl)propanoate (2.0 g, 5.3 mmol, 1.0 equiv) and triethylamine (2.22 mL, 15.9 mmol, 3.0 equiv) in THF (10 mL). After stirring for 30 min at 23° C., 3-(2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-6-yl)propan-1-amine (1.41 g, 7.95 mmol, 1.5 equiv) is added and the resulting mixture is stirred for 3 hr at 40° C. EtOAc (30 mL) and H₂O (20 mL) are added to the reaction mixture, the phases are separated, and the aqueous phase is extracted with EtOAc (3×20 mL). The combined organic phases are washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo to afford a crude urea, which is used in the next step without further purification.

To the above-obtained crude urea in THF (5.5 mL) is added 2M H₂SO₄ (aq) (5.5 mL). After stirring for 12 hr at 23° C., K₂CO₃ (aq) (10 mL) is added. The phases are separated and the aqueous phase is extracted with EtOAc (3×15 mL). The combined organic phases are washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo and the residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Step 5: tert-butyl 3-(3-(3-(2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-6-yl)propyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate

To tert-butyl 3-(3-(3-(2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-6-yl)propyl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate (1.56 g, 3.02 mmol, 1.0 equiv) in MeOH (15 mL) at 23° C. is added 20% Pd(OH)₂/C (424 mg, 0.604 mmol, 0.2 equiv) and H₂ is introduced with a balloon. After stirring for 18 hr at 60° C., the reaction mixture is concentrated in vacuo to afford the title compound.

Step 6: 3-(3-(3-(2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-6-yl)propyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A4)

To tert-butyl 3-(3-(3-(2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-6-yl)propyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate (1.56 g, 3.0 mmol, 1.0 equiv) in CH₂Cl₂ (5 mL) at 23° C. is added TFA (5 mL). After stirring for 1 hr at 23° C., the reaction mixture is concentrated in vacuo and EtOAc (10 mL) and K₂CO₃ (aq) (10 mL) are then added to the residue. The phases are separated and the aqueous phase is extracted with EtOAc (3×10 mL). The combined organic phases are washed with brine (10 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo and the resulting residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Example 5: 3-(2-oxo-3-(3-(6,7,8,9-tetrahydro-5H-pyrido[2,3-b]azepin-2-yl)propyl) imidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A5) Step 1: tert-butyl 3-(2-oxo-3-(3-(6,7,8,9-tetrahydro-5H-pyrido[2,3-b]azepin-2-yl)propyl)-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate

To triphosgene (629 mg, 2.12 mmol, 0.4 equiv) in THF (10 mL) under an atmosphere of nitrogen and at 0° C. is added a solution of (S)-tert-butyl 3-((2,2-dimethoxyethyl)amino)-3-(3-(trifluoromethyl)phenyl)propanoate (2.0 g, 5.3 mmol, 1.0 equiv) and triethylamine (2.22 mL, 15.9 mmol, 3.0 equiv) in THF (10 mL). After stirring for 30 min at 23° C., 3-(6,7,8,9-tetrahydro-5H-pyrido[2,3-b]azepin-2-yl)propan-1-amine (U.S. Pat. No. 6,916,810 B2, Duggan, M. E., et al (2005)) (1.63 g, 7.95 mmol, 1.5 equiv) is added and the resulting mixture is stirred for 3.0 hr at 40° C. EtOAc (30 mL) and H₂O (20 mL) are added to the reaction mixture, the phases are separated, and the aqueous phase is extracted with EtOAc (3×20 mL). The combined organic phases are washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo to afford a crude urea, which is used in the next step without further purification.

To the above-obtained crude urea in THF (5.5 mL) is added 2M H₂SO₄ (aq) (5.5 mL). After stirring for 12 hr at 23° C., K₂CO₃ (aq) (10 mL) is added. The phases are separated and the aqueous phase is extracted with EtOAc (3×15 mL). The combined organic phases are washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo and the residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Step 2: tert-butyl 3-(2-oxo-3-(3-(6,7,8,9-tetrahydro-5H-pyrido[2,3-b]azepin-2-yl)propyl)imidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate

To tert-butyl 3-(2-oxo-3-(3-(6,7,8,9-tetrahydro-5H-pyrido[2,3-b]azepin-2-yl)propyl)-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate (1.64 g, 3.02 mmol, 1.0 equiv) in MeOH (15 mL) at 23° C. is added 20% Pd(OH)₂/C (424 mg, 0.604 mmol, 0.2 equiv) and H₂ is introduced with a balloon. After stirring for 18 hr at 60° C., the reaction mixture is filtered through a pad of celite and the filtrate is concentrated in vacuo to afford the title compound.

Step 3: 3-(2-oxo-3-(3-(6,7,8,9-tetrahydro-5H-pyrido[2,3-b]azepin-2-yl)propyl)imidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A5)

To tert-butyl 3-(2-oxo-3-(3-(6,7,8,9-tetrahydro-5H-pyrido[2,3-b]azepin-2-yl)propyl)imidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate (1.64 g, 3.0 mmol, 1.0 equiv) in CH₂Cl₂ (5 mL) at 23° C. is added TFA (5 mL). After stirring for 1 hr at 23° C., the reaction mixture is concentrated in vacuo and EtOAc (10 mL) and K₂CO₃ (aq) (10 mL) are then added. The phases are separated and the aqueous phase is extracted with EtOAc (3×10 mL). The combined organic phases are washed with brine (10 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo and the residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Example 6: 3-(3-(3-(6-(methylamino)pyridin-2-yl)propyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A6) Step 1: (E)-tert-butyl (6-(2-cyanovinyl)pyridin-2-yl)carbamate

To tert-butyl (6-formylpyridine-2-yl)carbamate (1.00 g, 4.5 mmol, 1.0 equiv) in THF (10 mL) at 23° C. are added diethyl cyanomethylphosphonate (797 mg, 4.5 mmol, 1.0 equiv) and 50% wt NaOH aq (360 mg, 4.5 mmol, 1.0 equiv). After stirring for 1 hr at 23° C., EtOAc (20 mL) and H₂O (20 mL) are added to the reaction mixture. The phases are separated and the aqueous phase is extracted with EtOAc (3×20 mL). The combined organic phases are washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo and the residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Step 2: (E)-3-(6-aminopyridin-2-yl)acrylonitrile

To (E)-tert-butyl (6-(2-cyanovinyl)pyridin-2-yl)carbamate (736 mg, 3.0 mmol, 1.0 equiv) in CH₂Cl₂ (5 mL) at 23° C. is added TFA (5 mL). After stirring for 1 hr at 23° C., the reaction mixture is concentrated in vacuo and EtOAc (10 mL) and K₂CO₃ (aq) (10 mL) are added to the resulting residue. The phases are separated and the aqueous phase is extracted with EtOAc (3×10 mL). The combined organic phases are washed with brine (10 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo and the residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Step 3: (E)-3-(6-(methylamino)pyridin-2-yl)acrylonitrile

To (E)-3-(6-aminopyridin-2-yl)acrylonitrile (653 mg, 4.50 mmol, 1.00 equiv) in THF (10 mL) at 23° C. are added paraformaldehyde (135 mg, 4.5 mmol, 1.0 equiv), AcOH (270 mg, 4.5 mmol, 1.0 equiv), and NaHB(OAc)₃ (1.43 g, 6.75 mmol, 1.5 equiv). After stirring for 24 hr at 23° C., EtOAc (20 mL) and NaHCO₃ (aq) (20 mL) are added to the reaction mixture. The phases are separated and the aqueous phase is extracted with EtOAc (3×20 mL). The combined organic phases are washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo and the residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Step 4: 6-(3-aminopropyl)-N-methylpyridin-2-amine

To (E)-3-(6-(methylamino)pyridin-2-yl)acrylonitrile (640 mg, 4.02 mmol, 1.0 equiv) in 14M NH₄OH (aq) (4 mL) at 23° C. is added a slurry of Raney-Ni in H₂O until complete conversion to product was observed by LCMS. The reaction mixture is filtered through a pad of celite and the filtrate is concentrated in vacuo. The residue is dissolved in MeOH, filtered through a pad of celite again, and the filtrate is concentrated in vacuo to afford the title compound.

Step 5: tert-butyl 3-(3-(3-(6-(methylamino)pyridin-2-yl)propyl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate

To triphosgene (629 mg, 2.12 mmol, 0.400 equiv) in THF (10 mL) under an atmosphere of nitrogen and at 0° C. is added a solution of (S)-tert-butyl 3-((2,2-dimethoxyethyl)amino)-3-(3-(trifluoromethyl)phenyl)propanoate (2.00 g, 5.3 mmol, 1.0 equiv) and triethylamine (2.22 mL, 15.9 mmol, 3.0 equiv) in THF (10 mL). After stirring for 30 min at 23° C., 3-(6,7,8,9-tetrahydro-5H-pyrido[2,3-b]azepin-2-yl)propan-1-amine (1.31 g, 7.95 mmol, 1.5 equiv) is added and the resulting mixture is stirred for 3 hr at 40° C. EtOAc (30 mL) and H₂O (20 mL) are then added to the reaction mixture. The phases are separated and the aqueous phase is extracted with EtOAc (3×20 mL). The combined organic phases are washed with brine (20 mL), dried with MgSO₄, filtered. The filtrate is concentrated in vacuo to afford a crude urea, which is used in the next step without further purification.

To the above-obtained crude urea in THF (5.5 mL) is added 2M H₂SO₄ (aq) (5.5 mL). After stirring for 12 hr at 23° C., K₂CO₃ (aq) (10 mL) is added. The phases are separated and the aqueous phase is extracted with EtOAc (3×15 mL). The combined organic phases are washed with brine (20 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo and the residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Step 6: tert-butyl 3-(3-(3-(6-(methylamino)pyridin-2-yl)propyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate

To tert-butyl 3-(3-(3-(6-(methylamino)pyridin-2-yl)propyl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate (1.52 g, 3.02 mmol, 1.0 equiv) in MeOH (15 mL) at 23° C. is added 20% Pd(OH)₂/C (424 mg, 0.604 mmol, 0.2 equiv) and H₂ is introduced with a balloon. After stirring for 18 hr at 60° C., the reaction mixture is filtered through a pad of celite and the filtrate is concentrated in vacuo to afford the title compound.

Step 7: 3-(3-(3-(6-(methylamino)pyridin-2-yl)propyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoic Acid (Compound A6)

To tert-butyl 3-(3-(3-(6-(methylamino)pyridin-2-yl)propyl)-2-oxoimidazolidin-1-yl)-3-(3-(trifluoromethyl)phenyl)propanoate (1.52 mg, 3.00 mmol, 1.00 equiv) in CH₂Cl₂ (5 mL) at 23° C. is added TFA (5 mL). After stirring for 1 hr at 23° C., the reaction mixture is concentrated in vacuo and EtOAc (10 mL) and K₂CO₃ (aq) (10 mL) are then added to the residue. The phases are separated and the aqueous phase is extracted with EtOAc (3×10 mL). The combined organic phases are washed with brine (10 mL), dried with MgSO₄, and filtered. The filtrate is concentrated in vacuo and the residue is purified by silica gel column chromatography eluting with CH₂Cl₂/MeOH to afford the title compound.

Example 7. Testing of the Compounds of Present Disclosure in Cell Adhesion Assays

The ability of compounds to block adhesion of three primary cell cultures: human dermal microvascular endothelial (HMVEC), rat lung microvascular endothelial (RLMVEC), and rabbit aortic endothelial (RAEC) cells, to vitronectin coated plates is determined using the following procedure. This test demonstrates inhibition of the interaction of αv integrin on the cell surface with the ligand, vitronectin.

Adhesion Plates Preparation.

96-well plates are coated with vitronectin in PBS, pH 7.4 by incubating 50 μL of the solution (10 μg/ml) for 1.5 h at room temperature or overnight at 4° C. The plates then are blocked with 1% BSA in PBS (30 min at room temperature) and washed with PBS.

Cell Culturing and Loading.

HMVEC cells (passages p 9-14) (from Lonza, Allendale, N.J.) RLMVEC cells (p 4-14) (from Vec Technology, Rensselaer, N.Y.) and RAEC cells (p 4-14) (from CellBiologics, Chicago, Ill.) are used for the compound testing. Cells are grown in T175 tissue culture flasks and dislodged by gentle 3 min treatment with Accutase (Life Technologies). After washing, the cells in suspension in RPMI-1640 (Life Technologies) are loaded with calcein-AM (5 μM) (Life Technologies) for 30 min at 37° C. and re-suspended into RPMI w/o phenol red medium containing 10% FBS.

Adhesion Assay.

The cell suspension is aliquoted into the wells at a density of about 1.0×10⁵ cells/well (RLMVEC) and about 5.0×10⁴ (HMVEC, and RAEC). The test compounds are added at the same time with the cells. The plates are incubated for 1.5 h at 37° C. The cells that do not adhere during this incubation are removed by gentle washing. The wash is performed by 2 cycles of aspiration of the supernatant and addition of 100 μL of the pre-warmed fresh DPBS (Life Technologies). A fluorescence of the remaining cells is measured using multimode plate reader (Victor 2V, PerkinElmer) at an excitation/emission wavelengths of 485/535 nm. The compounds are tested starting with maximal concentration of 1 μM with half-log dilution schedule. IC₅₀ values are calculated with Prism 5 (GraphPad, CA) by fixing the bottom of the curves to a value of blank for empty wells fluorescence.

Example 8. Testing of the Compounds of Present Disclosure in α_(V) Integrin Binding Assays

All α_(V) Integrins are known to bind to proteins with a RGD motif. Two RGD ligands were used in this study: Vitronectin (VN) as a ligand for α_(V)β₃ and α_(V)β₅ (Wayner et al., J. Cell Biol., 113 (4), 919-929, 1991), and LAP TGF-β1 (LAP1) as a ligand for α_(V)β₆ and α_(V)β₈ (Rognoni et al., Nat. Med., 20(4): 350-359, 2014). CWHM12 was used as a positive control for α_(V)β₆ and α_(V)β₈ (Henderson et al., Nat. Med. 19(12), 10.1038/nm.3282 2013), and Cilengitide as a positive control for α_(V)β₃ and α_(V)β₅ (Kumar et al., J. Pharmacol. Exp. Ther., 283, 843-853, 1997).

The integrin coupled Dyna beads were allowed to interact with respective ligands. The integrin-ligand complex was detected with either Primary/Secondary Antibody conjugated with Fluorescein Isothiocyanate (FITC). For α_(V)β3 and α_(V)β5, Vitronectin was used as a ligand and a primary antibody conjugated with FITC (Anti-VN-FITC Ab) was used to detect the interaction. For α_(V)β6 and α_(V)β8, LAP-TGF β1 was used as ligand and a primary antibody against LAP1 (Anti-LAP1 Ab) and a secondary antibody conjugated with FITC were used to detect the α_(V)β6/α_(V)β8-LAP-TGF β1 complex. Fluorescence was measured by Flow Cytometry analysis.

Activation of Beads.

5 mg of Dyna beads were weighed in a low protein binding microfuge (Eppendorf) tube (1.5 mL volume). The beads were re-suspended in 1 mL of Sodium Phosphate Buffer and vortexed at high speed for 30 seconds. The tube was then placed in a tube roller and tilt rotated for 10 min. After tilt rotation, the tube was placed on the Magna Spin and the beads were allowed to settle. The supernatant was discarded and the beads were washed three times. The beads were then re-suspended in 100 μL of Sodium Phosphate Buffer and 20 of washed beads were distributed into 5 low protein binding Eppendorf tubes (1 mg of beads in each tube). The beads were used for coupling integrins.

Coupling of Dyna Beads with Integrins.

20 μL of (1 mg) of beads were mixed with 20 μL of integrins (20 μg) and 20 μL of 3 M Ammonium Sulfate solution (final concentration of ammonium sulfate was 1M) to achieve a Bead: Protein ratio of 5 mg:100 μg. The solution was mixed gently and placed in a tube roller and incubated at 37° C. for 16 hours.

Quantification of Coupling.

The tubes were taken out and subjected to a quick spin. The tubes were placed in the magna spin and the supernatant (60 μL) was collected (Supernatant). The beads were re-suspended in 60 μL of PBS and vortexed for 10 seconds. The beads were allowed to settle in the magna spin and the supernatant was collected as Wash 1 (W1) to remove the loosely bound proteins. The beads were washed three more times with 30 μL of PBS each time, and the supernatant was collected as W2, W3 and W4. The beads were finally re-suspended in 25 μL of PBS and stored at 4° C. until use. The amount of protein bound to beads was quantified by measuring the sum of protein left in the Supernatant, W1, W2, W3 and W4 through the Micro BCA method.

Micro BCA Method.

BSA was used as standard. The concentration range of BSA was 1 μg/mL to 20 μg/mL in PBS. 10 μL of the Supernatant was mixed with 40 μL of PBS in a 96 well plate, and then with 100 μL of Micro BCA reagent. The plate was shaken at 37° C. for 3 hours. After incubation, the OD at 562 nm was measured to determine the amount of protein in the Supernatant. The amounts of protein in W1, W2, W3 and W4 were determined with the same procedure.

The amounts of protein in the Supernatant, W1, W2, W3 and W4 were added and subtracted from the initial amount of the protein that was used for beads coupling, which provided the amount of protein bound to the beads and molarity of the protein was calculated.

αVβ6/αVβ8-LAP-TGF β1 Interaction:

αVβ6/αVβ8 coupled beads were treated with the ligand LAP TGF-β1 (LAP1) at room temperature for 3 hours. The complex (Integrin+Ligand) was then treated with primary Ab (Anti-LAP1 Ab) overnight at 4° C. The whole complex (Integrin+Ligand+Primary Ab) was treated with Secondary Ab conjugated with FITC and incubated for 2 hours. The complex was analyzed by either plate reader or Flow Cytometer.

10 μL of αVβ6/αVβ8 coupled beads were taken for the experiment. The concentration of integrins was 10 nM. 10 μL of LAP1 was taken (10 nM for αVβ6 and 20 nM for αVβ8). Reaction between integrin coupled beads and LAP1 was considered as the full reaction, and reaction without LAP1 or a compound of the disclosure was considered as the blank reaction. The samples were incubated in low protein binding tubes at room temperature for 3 hours. The tubes were briefly spun and placed in a Magna spin. The supernatant was removed. The beads were washed with assay buffer twice to remove excess LAP1 and then re-suspended in 150 μL of assay buffer containing 1:200 anti-LAP1 Ab (primary Ab). The tubes were placed in a tube roller and incubated at 4° C. overnight. After a brief spin, the tubes were then placed in a Magna spin and the supernatant was removed. The beads were washed with assay buffer twice to remove excess primary Ab and then re-suspended in 150 μL of assay buffer containing 1:500 secondary Ab conjugated with FITC. The tubes were incubated at room temperature for 2 hours in a tube roller. After a brief spin, the tubes were placed in a Magna spin and the supernatant was removed. The beads were washed with assay buffer twice followed by PBS. The beads were then re-suspended in 300 μL of PBS and analyzed by a Flow Cytometer (BD FACSCalibur, Software-BDcell Quest Pro Version 6).

αVβ3/αVβ5-LAP-TGF β1 interaction: αVβ3/αVβ5 coupled beads were treated with the ligand at room temperature for 3 hours. The complex (Integrin+Ligand) was then treated with Anti-Vitronectin Ab conjugated with FITC overnight at 4° C. The complex was analyzed by either plate reader or Flow Cytometer.

10 μL of αVβ3/αVβ5 coupled beads were taken for the experiment. The concentration of integrins was 10 nM. 10 μL of vitronectin was taken. The concentration was 10 nM. Reaction between integrin coupled beads and vitronectin was considered as the full reaction, and reaction without vitronectin or a compound of the disclosure was considered as the blank reaction. The samples were incubated in low protein binding tubes at room temperature for 3 hours. The tubes were briefly spun and placed in a Magna spin. The supernatant was then removed. The beads were washed with assay buffer twice to remove excess vitronectin and then re-suspended in 150 μL of assay buffer containing 1:500 Anti-vitronectin Ab conjugated with FITC. The tubes were placed in a tube roller and incubated at 4° C. overnight. After a brief spin, the tubes were placed in a Magna spin and the supernatant was discarded. The beads were washed with assay buffer twice followed by PBS. The beads were then re-suspended in 300 μL of PBS and analyzed by a Flow Cytometer (BD FACSCalibur, Software—BD Cell Quest Pro Version 6).

Quantification:

The samples were acquired using a BD FACSCalibur system and analyzed with BD Cell quest pro Version 6. Median values for the following were extracted from the software: Full reaction (Integrin+Ligand) with or without compound, Control: Without Ligand (LAP1/Vitronectin), and Vehicle Control: Full reaction with DMSO. Blank=Test Median value−control Median value. Percentage Inhibition=100−[(Blanked Test Median/Blanked vehicle Median)*100]. Percentage of binding was calculated with respect to full reaction. The value was subtracted from 100 to get percentage of inhibition. All the plotted values were average of triplicates. SD was determined for each experiment. IC₅₀ was determined with Graph Pad Prism.

Inhibition of Integrin-Ligand Interaction by Reference Inhibitors:

The optimized protocol was validated by employing reference compounds such as Cilengitide (αVβ3/αVβ5-VN interaction) and CWHM12 (αVβ6/αVβ8-LAP1 interaction). The full reaction (Integrin-Ligand Interaction) was optimized as above. Integrin coupled beads were taken for the experiment.

2 μL of 10 nM/20 nM of Ligand was taken and mixed with 8 μL of the compound (i.e., Cilengitide or CWHM12, each diluted from a 10 mM stock). Reaction, with or without DMSO (0.08%), between Integrin and Ligand in the absence of the compound was considered as the full reaction. Reaction with DMSO (0.08%) in the absence of compound and Ligand was considered as the blank reaction.

The samples incubated in low protein binding tubes at room temperature for 3 hours. The tubes were placed in a Magna spin and the supernatant was discarded. The beads were washed with assay buffer twice to remove the excess Ligand and then re-suspended in 150 μL of assay buffer containing the primary antibody (1:500 of Anti-VN-FITC or 1:200 of Anti-LAP1 Ab). The tubes were placed in a tube roller and incubated at 4° C. overnight. After a brief spin, the tubes were placed in a Magna spin, and the supernatant was discarded. In the case of αVβ3/αVβ5-VN interaction, the beads were washed with assay buffer twice and finally washed with PBS. The beads were then re-suspended in 300 μL of PBS and analyzed by a Flow Cytometer. In the case of αVβ6/αVβ8-LAP1 interaction, the beads were washed with assay buffer twice and treated with 150 μL of Secondary Antibody (1:500) for two hours at room temperature, washed twice with assay buffer and PBS, and finally re-suspended in 300 μL of PBS and analyzed by a Flow Cytometer.

Table 2 shows the integrin inhibition activity of compounds of the disclosure.

TABLE 2 Integrin Inhibition Assay Results αvβ6 αvβ8 αvβ3 Cmpd # IC₅₀ (nM) IC₅₀ (nM) αvβ8/αvβ6 IC₅₀ (nM) A1 375.70 50.39 0.13 — A8 NA 621.90 NA — A10 394.4  232.1 — —

Example 9. Anti-Angiogenic Activity Using Chick Chorioallantoic Membrane (CAM) Assay

CAM surfaces are grafted with gelatin sponges impregnated with the concentrations of test compounds (i.e., compounds of the present disclosure) and 50 ng VEGF dissolved in PBS. Untreated CAM receive only VEGF and PBS. Error bars represent SEM, N=5, P values for the treated groups are calculated by comparing with the untreated group (*p<0.05, **p<0.01, ***p<0.001).

Test Substance Preparation:

Test samples and standards are dissolved in PBS and sterilized by passing through a syringe filter (0.22 μm). hVEGF (SIGMA) 50 ng/μl is prepared in sterile PBS.

Grafting:

Gelatin sponge (Abogel) is cut in approximately 2 mm³ pieces and loaded with required test substance or PBS and VEGF. The graft is placed on the CAM.

Eggs:

Fertile hen eggs are procured from a hatchery and are cleaned and decontaminated using alcohol. 1 ml of albumin is removed using a syringe and incubated for 8 days. Grafts are placed on developing CAMs and further incubated to day 12. On day 12, CAMs are fixed with 4% formaldehyde in PBS, dissected and imaged.

Imaging:

Fixed CAMs are imaged under constant illumination and magnification under a stereomicroscope fitted with a digital camera (CANON).

Image Analysis:

Images are analyzed on MS PowerPoint keeping the image size constant. A ring is drawn around the graft and the size is kept constant. Blood vessels crossing the ring are counted for each test group.

Statistical Analysis:

Data are analyzed on MS Excel 2007.

Example 10. Distribution in Plasma, Aqueous Humor, Vitreous Humor, and Retina after Topical Ocular Administration in Dutch Belted Rabbits

The plasma concentrations and ocular distribution (aqueous humor, vitreous humor, and retina) of compounds of the disclosure are determined following topical ocular administration in Dutch Belted rabbits. The test compounds are administered in each eye at a volume of 50 μL/eye at a concentration of 1.0-2.5 mg/mL. Plasma and different ocular tissue samples are collected at pre-determined time points. Aqueous humor, vitreous humor, and retina are collected from each eye at each time point post-dose. Also, weights are recorded. Plasma and ocular sample concentrations of the compounds are determined by LC-MS/MS.

Animal Dosing:

The exposure of compounds of the present disclosure is evaluated in Dutch Belted rabbits. The study is not blinded. Each compound is dosed as n=3/time point for a total of nine rabbits. Rabbits are housed one per cage. Animals are not fasted, and food and water are supplied ad libitum.

Animals are anesthetized following the 13IA5 IACUC protocol for the dosing. Each rabbit receives a bolus dose of test formulation via topical ocular administration into both eyes at time zero on the day of dosing. Plasma and ocular samples are collected at pre-determined time points. Animals for the 30-minute and 1-hour time points are anesthetized for the entire duration of the study. The animals for the 8-hour time point are recovered after dosing and then euthanized for sampling purposes.

At each time point, approximately 0.5 mL of blood is collected and placed into chilled Na-heparin tubes containing citric acid. Blood samples are centrifuged at a speed of 3,000 g for 5 minutes to obtain plasma as quickly as possible. Samples are stored frozen at −80° C. until analysis. Animals are euthanized per the 13IA5 IACUC protocol and both eyes are enucleated immediately. Following enucleation, each eye is rinsed with PBS. Ocular samples from both eyes of each animal are collected and weights are recorded. All the samples are frozen immediately on dry ice, and stored at −60° C. to −80° C. for analysis.

Analysis of Plasma and Ocular Samples:

An LC-MS/MS method is developed for the determination of the concentration of compounds of the present disclosure in rabbit plasma and ocular samples. A pre-study standard curve is analyzed to determine the specificity, range, and lower limit of quantitation of the method.

Example 11. Evaluation of the Safety and Efficacy of Topically Applied Test Compounds in the Laser-Induced Choroidal Neovascularization (CNV) Model in Dutch Belted Rabbits

Healthy male animals weighing between 1.5 kg and 2.0 kg are used in these studies. Animals are weighed prior to dosing and at euthanasia, and more often if needed. Baseline fundus photography and fluorescein angiography is performed on each animal prior to CNV induction.

Animals are anesthetized with an intramuscular injection of ketamine hydrochloride (20 mg/kg) and xylazine (2 mg/kg) for CNV induction, fundus photography, fluorescein angiography, and intravitreal (IVT) injections. Rabbits are maintained on isoflurane (approximately 1 to 3%) in oxygen (approximately 1 to 2 L/min) as necessary. One drop of topical proparacaine hydrochloride anesthetic (0.5%) is placed in each eye before procedures. Additional topical ocular anesthesia is utilized during the procedure if needed.

CNV is induced by laser photocoagulation treatment. An external diode laser is applied to the retina using a laser contact lens and a slit lamp biomicroscope. On Day 1, both eyes of each animal undergo laser photocoagulation treatment using the following laser settings:

Number of Spots: 12-15 spots per eye

Power Range: 50-200 mW

Spot Size: 20-100 μm

Time: 0.05-0.1 seconds

Following laser treatment, 50 μL of a 25-μg/mL VEGF solution (1.25 μg dose) is intravitreally injected into each eye. Daily gross ocular exams are performed throughout the study period.

Clinical ophthalmic exams (slit-lamp biomicroscopy and indirect ophthalmoscopy), fundus photography, and fluorescein angiography are performed at baseline and then weekly for up to 6 weeks post-induction. Exams are scored using the McDonald-Shadduck Score System. Optical Coherence Tomography OCT imaging is performed weekly for diagnostic imaging during the exams.

On the last day of the study, blood sampling is performed just prior to administration of the AM dose and at 2 hours post dosing. Blood samples are centrifuged at a speed of 3,000 g for 5 minutes to obtain plasma as quickly as possible. Samples are stored frozen at −80° C. until analysis. At the conclusion of the study, animals are euthanized per the 13C232Q3 IACUC protocol and both eyes enucleated immediately. Following enucleation, each eye is rinsed with phosphate-buffered saline. Ocular samples (aqueous humor, vitreous humor retina and choroid) from both eyes of each animal are collected and weights are recorded. All the samples are frozen immediately on dry ice, and stored at −60° C. to −80° C. for analysis.

Example 12. Diagnosing Fibrosis

Fibrosis is a pathophysiological process in response to tissue injury due to viral or bacterial infection, inflammation, autoimmune disease, trauma, drug toxicity, and so on. During this process, an excess amount of collagen is expressed and fibrous material forms in the extracellular space of the affected tissue. Thus, fibrosis can be generally recognized based on the distinct morphology of fibrous tissue in a biopsy of the organ in which fibrosis is suspected. Other means for detecting the presence of fibrosis or developing fibrosis include computerized axial tomography (CAT or CT) scan, ultrasound, magnetic resonance imaging (MRI), and monitoring the level of one or more serum markers known to be indicative of fibrosis (e.g., various types of collagens).

The precise manner of diagnosing fibrosis also varies depending on the organ where the fibrotic process takes place. For instance, biopsies are generally effective for diagnosing fibrosis of most organs, whereas endoscopy involving a fiber optic instrument (e.g., a sigmoidoscope or a colonoscope) can be a less traumatic alternative to detect fibrosis of certain organs such as the intestine.

Biopsy for Detecting Fibrosis

Standard procedures have been established for obtaining biopsy from a given organ or tissue. For example, a specimen can be obtained during exploratory surgery, but is more often obtained by inserting a biopsy needle through the skin and into the organ or tissue. Before this procedure is performed, the person receives a local anesthetic. Ultrasound or CT scans may be used to locate the abnormal area from which the specimen is to be taken.

Upon obtaining an organ or tissue biopsy, the sample is examined and given a score to indicate the presence and level of fibrosis in the sample. Most frequently used scoring systems include the METAVIR or modified HAI (ISHAK) scoring system. The Knodell scoring system can also be used for analyzing the liver sample. The criteria used in scoring are well established and known to those of skilled in the art. For example, the METAVIR system provides five gradings: F0 indicates the absence of fibrosis; F1 indicates portal fibrosis without septa; F2 indicates portal fibrosis and some septa; F3 indicates septal fibrosis without cirrhosis; and F4 indicates the presence of cirrhosis.

Biopsy is not only useful for the diagnosis of fibrosis, it can also aid physicians to assess the effectiveness of fibrosis treatment/prevention methods of the present disclosure by monitoring the progression of fibrosis using methodologies known in the art. See, e.g., Poynard et al., Lancet 349:825, 1997.

Fibrosis Markers

There are numerous known serum markers whose level can be indicative of the presence and/or severity of fibrosis. Blood tests measuring markers, e.g., hyaluronic acid, laminin, undulin (type IV collagen) pro-peptides from types I, II, and IV collagens, lysyl oxidase, prolyl hydroxylase, lysyl hydroxylase, PIIINP, PICP, collagen VI, tenascin, collagen XIV, laminin P1, TIMP-1, MMP-2, α2 macroglobulin, haptoglobin, gamma glutamyl transpeptidase, γ globulin, total bilirubin, apolipoprotein A1, etc., according to the established methods can thus be useful for both the diagnosis of fibrosis and monitoring of fibrosis progression. Additional markers, such as nucleic acid markers, can be used for detecting and/or monitoring fibrosis. For instance, Wnt-4 has recently been indicated in laboratory experiments as a gene that plays an important role in renal fibrosis, where its mRNA expression is significantly increased in the fibrotic tissue in the kidney (See, e.g., Surendran et al., Pediatr. 140:119-24, 2002). The quantitative detection of gene expression of this type of markers can be useful in the diagnosis and monitoring of fibrosis

Example 13. Bleomycin Induced Mouse Pulmonary Fibrosis Model

Ninety-five male C57BL/6 mice are randomly and prospectively assigned to one group of fifteen animals and eight groups of ten animals each. On day 0 and at least one hour prior to bleomycin induction, animals are administered the first dose of vehicle or test-article (i.e., a compound of the present disclosure). At least one hour following dosing, all mice are anesthetized with isoflurane and placed on their backs lying on a table at approximately 60°. A small diameter cannula is inserted into the trachea, and saline or bleomycin is slowly infused into the lungs in a volume of 40 μL.

Group 1 serves as an untreated control group and receives saline only (no bleomycin) on day 0. Groups 2-9 receives 2.25 U/kg of bleomycin on day 0. The animals are then released into a recovery cage and allowed to wake up. From day 0 through day 21, treatments are administered once or twice daily via oral gavage (PO). Vehicle treated animals (Group 2) receive 0.4% methylcellulose. Remaining animals receive either Pirfenidone at 100 mg/kg (Group 3), or a compound of the present disclosure (i.e., a compound of formula I at a dose of between about 1 mg/kg to a 200 mg/kg).

All animals are weighed and evaluated daily for respiratory distress (defined as an increase in respiratory rate and/or obvious respiratory effort). Animals with severe respiratory distress, or animals that lost greater than 30% of their total starting body weight, are euthanized within 2 hours of observation.

On Day 21, prior to sacrifice, mice are anesthetized with IP injection of ketamine/xylazine (i.e., 100 mg/kg, 10 mg/kg). Once the animal is determined to be non-responsive a shallow 2 cm vertical incision is made starting from 1 cm below the chin. The trachea is isolated and a transverse cut is made between tracheal rings approximately half-way through the trachea. A tracheotomy is performed by the insertion of an 18 gauge polyethylene cannula through the incision secured with surgical suture to the trachea. Following cannulation, the adapter end of the cannula is attached to the flexiVent mechanical ventilator. The animal is ventilated at 10 ml/kg tidal volume (V_(T)), 150 breaths per minute and 3 cm H₂O positive end expiratory pressure (PEEP). Following a 2-minute acclimation period, lung volume is standardized with 1, 6-second deep inflation to a pressure of 30 cm H₂O followed by 2 pressure-volume measurements up to 40 ml/kg. Each animal then undergoes a measure of total respiratory impedance by applying a 3-second pseudorandom frequency oscillation to the airway opening at 3, 6, 9 and 12 cm H₂O PEEP. If at any time during this procedure the animal becomes responsive as demonstrated by a response to stimuli or spontaneous breathing efforts the animal receives a supplemental dose of 50 mg/kg ketamine.

EQUIVALENTS

Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments and methods described herein. Such equivalents are intended to be encompassed by the scope of the present disclosure.

All patents, patent applications, and literature references cited herein are hereby expressly incorporated by reference. 

1. A compound of formula I:

or a pharmaceutically acceptable salt or solvate thereof, wherein: Z is

Q is

X is CR₄ or N; Y is CR₄ or N; R₁ is H, F, Cl, C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms; R₂ and R₃ are each independently H, F, CH₂F, CHF₂, or CF₃, provided that one of R₂ and R₃ is not H; each R₄ is independently H, CH₂F, CHF₂, or CF₃; and R₅₁ and R₅₂ are each independently H, F, or Cl; W is

NR₆₁R₆₂, NR₆₁C(O)NR₆₁R₆₂, NR₆₁C(O)OR₆₂, NR₆₁C(O)R₆₂, or NR₆₁C(S)NR₆₁R₆₂, R₆₁ is H or C₁-C₄ alkyl; R₆₂ is C₁-C₄ alkyl, C₆-C₁₀ aryl, or heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S wherein the aryl and heterocyclyl are optionally substituted with one or more halogen, amino, C₁-C₃ alkylamino, or C₁-C₃ dialkylamino; and n is 1 or
 2. 2. The compound of claim 1, wherein Q is


3. The compound of claim 2, wherein X is N and Y is CR₄.
 4. The compound of claim 2, wherein X and Y are each CR₄.
 5. The compound of claim 2, wherein X and Y are each N.
 6. The compound of claim 2, wherein at least one R₄ is H.
 7. The compound of claim 2, wherein at least one R₄ is CF₃.
 8. The compound of claim 2, wherein R₁ is H.
 9. The compound of claim 2, wherein R₁ is F, Cl, C₁-C₄ alkyl substituted with 1, 2, 3, 4, 5, 6, 7, 8, or 9 fluorine atoms, or C₁-C₄ alkoxy substituted with 0, 1, 2, 3, 4, 5, 6, or 7 fluorine atoms.
 10. The compound of claim 9, wherein R₁ is CF₃.
 11. The compound of claim 9, wherein R₁ is OCF₃ or OCHF₂.
 12. The compound of claim 1, wherein Q is


13. The compound of claim 1, wherein W is

and n is
 1. 14. The compound of claim 1, wherein W is NHR₆₂ and n is
 2. 15. The compound of claim 1, wherein R₆₂ is heterocyclyl comprising one or two 5- to 7-membered rings and 1-4 heteroatoms selected from N, O, and S.
 16. The compound of claim 1, wherein W is NHC(O)NHR₆₂, NHC(O)OR₆₂, NHC(O)R₆₂, or NHC(S)NHR₆₂ and n is
 2. 17. The compound of claim 1, having formula IIIa or IIIb:

or a pharmaceutically acceptable salt or solvate thereof, wherein Z′ is


18. The compound of claim 1, having formula IVa or IVb:

or a pharmaceutically acceptable salt or solvate thereof, wherein R₄′ is CH₂F, CHF₂, or CF₃.
 19. A pharmaceutical composition comprising a compound of claim 1, or a pharmaceutically acceptable salt or solvate thereof, and a pharmaceutically acceptable carrier or excipient.
 20. A method of treating or preventing a disease or condition mediated by an αv integrin in a subject, comprising administering to a subject in need thereof, a therapeutically effective amount of a compound of claim 1, or a pharmaceutically acceptable salt or solvate thereof. 